Jacob Markisen

NPI #1043755515 in Rockledge, Florida

Provider Information

NPI Number: 1043755515
Entity Type: Individual
Name: Jacob Markisen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Dec 19, 2016
Last Updated: Dec 19, 2016

Practice Location

Address: 1037 PATHFINDER WAY
City: Rockledge
State: Florida
ZIP Code: 32955-3242
Phone: (321) 639-1224

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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