Individual
MR. ADAM MATTHEW JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
570 LEE ST, PERTH AMBOY, NJ 08861-3053
(732) 442-1666
(732) 442-3512
Mailing address
2260 NEW YORK AVE, SCOTCH PLAINS, NJ 07076-4624
(908) 803-3782
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44LS05386800
NJ
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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