JACOB HENRY EZELL

NASHVILLE, TN
NPI1205313665
Former NameJACOB HENRY WALLACE
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: TN  11771)
Enumeration Date2018-07-27
Last Update Date2018-07-27
Business Address
Mr. JACOB HENRY EZELL LMSW
2400 WHITE AVE
NASHVILLE, TN 37204-2235
Phone number: 615-460-4200
Mailing Address
Mr. JACOB HENRY EZELL LMSW
2400 WHITE AVE
NASHVILLE, TN 37204-2235
Phone number: 615-460-4200