Haley Jacob

NPI #1659819076 in La Crosse, Wisconsin

Provider Information

NPI Number: 1659819076
Entity Type: Individual
Name: Haley Jacob
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Prevention Professional
Enumeration Date: Feb 6, 2017
Last Updated: Feb 6, 2017

Practice Location

Address: 1725 STATE ST
Address 2: 126 MITCHELL HALL
City: La Crosse
State: Wisconsin
ZIP Code: 54601-3742
Phone: (216) 978-1173

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prevention Professional	405300000X	Primary

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