MR. Wade Stewart Jacoby, LSW

NPI #1790916161 in Hanover, Pennsylvania

Provider Information

NPI Number: 1790916161
Entity Type: Individual
Name: MR. Wade Stewart Jacoby, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Aug 4, 2009
Last Updated: Aug 4, 2009

Practice Location

Address: 112 CLOVER LANE
City: Hanover
State: Pennsylvania
ZIP Code: 17331
Phone: (717) 632-0774

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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