Organization
LEAH JACOB LICSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH JACOB LICSW (PRESIDENT)
(612) 805-4206
Entity
Organization
Contact information
Practice address
100 W FRANKLIN AVE STE 301, MINNEAPOLIS, MN 55404-2446
(612) 805-4206
Mailing address
100 W FRANKLIN AVE STE 301, MINNEAPOLIS, MN 55404-2446
(612) 805-4206
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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