Individual
LEIGH ANN JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RCSWI
Contact information
Practice address
150 BLACKWATER WAY, SAINT JOHNS, FL 32259-8740
(904) 704-5997
Mailing address
150 BLACKWATER WAY, SAINT JOHNS, FL 32259-8740
(904) 704-5997
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ISW18910
FL
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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