Individual
MR. JACOB D JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
799 S MAIN ST, LIMA, OH 45804-1519
(567) 242-6047
(419) 227-0025
Mailing address
799 S MAIN ST, LIMA, OH 45804-1519
(567) 242-6047
(419) 227-0025
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.0900775
OH
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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