Individual
PETER JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
655 WESTFIELD AVE, ELIZABETH, NJ 07208-1325
(908) 352-8375
Mailing address
655 WESTFIELD AVE, ELIZABETH, NJ 07208-1325
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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