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Individual

JENNIFER JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1000 HOSPITAL RD, WAYNESVILLE, MO 65583-2634
(573) 774-5353
Mailing address
PO BOX 4067, WAYNESVILLE, MO 65583-4067
(573) 774-5353

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2020004167
MO

Other

Enumeration date
02/21/2020
Last updated
02/21/2020
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