Individual
JACOB WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
429 N PENNSYLVANIA ST STE 111, INDIANAPOLIS, IN 46204-1873
(855) 284-7483
(617) 807-0958
Mailing address
PO BOX 748465, ATLANTA, GA 30374-8465
(855) 284-7483
(617) 807-0958
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34010490A
IN
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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