Individual
PHILIP JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
7808 CLODUS FIELDS DR, DALLAS, TX 75251-2206
(972) 701-3626
(972) 701-3609
Mailing address
7808 CLODUS FIELDS DR, DALLAS, TX 75251-2206
(972) 701-3626
(972) 701-3609
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
51318
TX
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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