| NPI Details | |
|---|---|
| NPI | 1376986976 |
| Gender | Female |
| Enumeration Date | 04/12/2013 |
| Last Updated | 04/12/2013 |
| Entity Type | Individual |
| Active | Over 5 years ago |
| Practice Location | |
|---|---|
| 21800 TOWNCENTER PLZ SUITE 266A-229 STERLING VA, 20164-1897, US |
|
| Phone | (703) 539-2030 |
| Fax | |
| Business Location | |
|---|---|
| 21800 TOWNCENTER PLZ SUITE 266A-229 STERLING VA, 20164-1897, US |
|
| Phone | (703) 539-2030 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 1041C0700X |
| License State | Virginia |
| License Number | 0904008199 |
| Remove 1376986976 NPI Number | |
According to our database, Hazel Clemons-jacobs LCSW NPI is 1376986976, taxonomy code is 1041C0700X and license number is 0904008199, license state is located at Virginia. Hazel Clemons-jacobs LCSW physically located at 21800 Towncenter Plz, Sterling VA, 20164-1897. NPI Number Hazel Clemons-jacobs LCSW has the Individual type.
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1376986976 NPI number is provided on an as is basis without warranty of any kind. 1376986976 is maintained by the National Plan & Provider Enumeration System. The contents of Hazel Clemons-jacobs LCSW are for informational purposes only.
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