Individual
NEENA MARY JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
7226 CASTOR AVE, PHILADELPHIA, PA 19149-1108
(215) 742-7810
Mailing address
458 TOMLINSON RD, PHILADELPHIA, PA 19116-3339
(703) 717-3555
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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