Individual
JACOBA ROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
126 THORNTON RD, STATE COLLEGE, PA 16801-7242
(303) 834-5893
Mailing address
126 THORNTON RD, STATE COLLEGE, PA 16801-7242
(303) 834-5893
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW.09923456
CO
171W00000X
Contractor
27288251
PA
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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