Individual
DAVID JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
137 SYCAMORE AVE, LIVINGSTON, NJ 07039-4725
(201) 396-3772
Mailing address
137 SYCAMORE AVE, LIVINGSTON, NJ 07039-4725
(201) 396-3772
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SW00550300
NJ
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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