Simone Jacobs LCSW-C, LICSW

NPI 1417115494 - Social Worker - 1041C0700X

NPI Details
NPI 1417115494
Gender Female
Enumeration Date 05/27/2008
Last Updated 09/10/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
6930 CARROLL AVE
STE 830
TAKOMA PARK MD, 20912-4423, US
Phone (301) 802-5653
Fax (240) 491-5913
Business Location
6930 CARROLL AVE
STE 830
TAKOMA PARK MD, 20912-4423, US
Phone (301) 802-5653
Fax (240) 491-5913
Toxanomy
Taxonomy Code 1041C0700X
License State Maryland
License Number 14006
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According to our database, Simone Jacobs LCSW-C, LICSW NPI is 1417115494, taxonomy code is 1041C0700X and license number is 14006, license state is located at Maryland. Simone Jacobs LCSW-C, LICSW physically located at 6930 Carroll Ave, Takoma Park MD, 20912-4423. NPI Number Simone Jacobs LCSW-C, LICSW has the Individual type.

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1417115494 NPI number is provided on an as is basis without warranty of any kind. 1417115494 is maintained by the National Plan & Provider Enumeration System. The contents of Simone Jacobs LCSW-C, LICSW are for informational purposes only.