Lillie Marie Jacobs LCSW

NPI 1750332540 - Counselor - 101YM0800X

NPI Details
NPI 1750332540
Gender Female
Enumeration Date 05/15/2006
Last Updated 10/03/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
3125 EASTWAY DRIVE
SUITE 109
CHARLOTTE NC, 28205, US
Phone (704) 566-9437
Fax (704) 566-9437
Business Location
3125 EASTWAY DRIVE
SUITE 109
CHARLOTTE NC, 28205, US
Phone (704) 566-9437
Fax (704) 566-9437
Toxanomy
Taxonomy Code 101YM0800X
License State North Carolina
License Number C002751
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According to our database, Mrs. Lillie Marie Jacobs LCSW NPI is 1750332540, taxonomy code is 101YM0800X and license number is C002751, license state is located at North Carolina. Lillie Marie Jacobs LCSW physically located at 3125 Eastway Drive, Charlotte NC, 28205. NPI Number Lillie Marie Jacobs LCSW has the Individual type.

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1750332540 NPI number is provided on an as is basis without warranty of any kind. 1750332540 is maintained by the National Plan & Provider Enumeration System. The contents of Lillie Marie Jacobs LCSW are for informational purposes only.