Individual
HAZEL JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LISW-CP
Contact information
Practice address
10120 TWO NOTCH RD # 361, COLUMBIA, SC 29223-4395
(803) 262-7486
(843) 459-7987
Mailing address
10120 TWO NOTCH RD # 361, COLUMBIA, SC 29223-4395
(803) 262-7486
(843) 459-7987
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008199
VA
Other
Enumeration date
04/12/2013
Last updated
12/21/2023
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