Individual
MELINDA SUE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
9709 LINCOLN HWY, BEDFORD, PA 15522-3717
(814) 652-3220
Mailing address
9709 LINCOLN HWY, BEDFORD, PA 15522-3717
(814) 652-3220
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW135113
PA
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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