Organization
COALESCE FAMILY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HAZEL E JACOBS LCSW, LISW-CP (OWNER)
(803) 262-7486
Entity
Organization
Contact information
Practice address
1805 CLEMSON RD UNIT 290171, COLUMBIA, SC 29229-0507
(803) 262-7486
(843) 459-7987
Mailing address
10120 TWO NOTCH RD # 361, COLUMBIA, SC 29223-4395
(803) 262-7486
(843) 459-7987
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/21/2023
Last updated
08/04/2024
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