Individual
EMILY JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 508-7700
Mailing address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 508-7700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005673
GA
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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