Individual
JACOB FAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5351C JAYCEE AVE, HARRISBURG, PA 17112-2997
(717) 657-2080
Mailing address
625 W ELM AVE, HANOVER, PA 17331-5125
(717) 632-4900
(717) 632-4313
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW136781
PA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/11/2014
Last updated
01/17/2020
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