Individual
JACOB WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
226 MCCORD HALL, MEMPHIS, TN 38152-3330
(901) 679-2616
Mailing address
5112 FRANKLIN AVE, LOS ANGELES, CA 90027-3602
(895) 895-5601
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
TN
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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