NPI Profile for DEBBIE S JACOBS in TAYLORSVILLE, UT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Dental Hygienist |
124Q00000X | |||
Social Worker |
104100000X |
| NPI Number | 1780033977 |
|
| Status | Active | |
| Credentials | BS | |
| Entity | Individual | |
| Enumeration date | 06/08/2016 | |
| Last updated | 06/08/2022 - About 4 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DEBBIE S JACOBS
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