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1205313665
JACOB HENRY EZELL
NASHVILLE, TN
NPI
1205313665
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Former Name
JACOB HENRY WALLACE
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: TN 11771)
Enumeration Date
2018-07-27
Last Update Date
2018-07-27
Business Address
Mr. JACOB HENRY EZELL LMSW
2400 WHITE AVE
NASHVILLE, TN 37204-2235
Phone number: 615-460-4200
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Mailing Address
Mr. JACOB HENRY EZELL LMSW
2400 WHITE AVE
NASHVILLE, TN 37204-2235
Phone number: 615-460-4200
Copy
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