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Individual

JESSICA JACOBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
9720 CAPITAL CT, SUITE 301, OFFICE 3, MANASSAS, VA 20110-2044
(703) 282-8761
Mailing address
9720 CAPITAL CT, SUITE 301, OFFICE 3, MANASSAS, VA 20110-2044
(703) 282-8761

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007381
VA

Other

Enumeration date
01/20/2016
Last updated
11/09/2016
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