Individual
OWEN FIELD JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
5201 RAYMOND ST, ORLANDO, FL 32803-8208
(205) 538-4786
Mailing address
1105 ILLINOIS AVE, WINTER PARK, FL 32789-5440
(205) 538-4786
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/31/2023
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