Jacob David

NPI #1154011690 in Providence Forge, Virginia

Provider Information

NPI Number: 1154011690
Entity Type: Individual
Name: Jacob David
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: May 9, 2023
Last Updated: May 9, 2023

Practice Location

Address: 3530 N COURTHOUSE RD
City: Providence Forge
State: Virginia
ZIP Code: 23140-3408
Phone: (804) 409-7525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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