Individual
DONNA JACOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1770 CEDAR ST, ROCKLEDGE, FL 32955-3133
(321) 634-6270
Mailing address
3514 OAKLEAF LN, CRYSTAL LAKE, IL 60012-2082
(815) 893-6585
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW9018
FL
Other
Enumeration date
10/31/2008
Last updated
03/02/2015
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