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Individual

MS. TERESA JACOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
737 ENTERPRISE DR, SUITE 100, LEWIS CENTER, OH 43035-9436
(614) 635-9011
(614) 635-9014
Mailing address
737 ENTERPRISE DR, SUITE 100, LEWIS CENTER, OH 43035-9436
(614) 635-9011
(614) 635-9014

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
104100000X
Social Worker
0017890
OH

Other

Enumeration date
04/23/2008
Last updated
04/01/2013
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