Individual
LANGSTON JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11059 E BETHANY DR, SUITE 200, AURORA, CO 80014-2622
(303) 617-2300
(303) 617-2365
Mailing address
11059 E BETHANY DR, SUITE 200, AURORA, CO 80014-2622
(303) 617-2300
(303) 617-2365
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193200000X
RESIDENTIAL RELIEF/ADMINISTRATIVE EMPLOYEES-
CO
Enumeration date
03/16/2015
Last updated
03/16/2015
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