MARK JACOB

DECATUR, AL
NPI1245285295
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: AL  1081C)
Enumeration Date2006-05-24
Last Update Date2023-01-25
Business Address
MARK JACOB LCSW
251 JOHNSTON ST SE STE 100
DECATUR, AL 35601-2515
Phone number: 256-822-2375
Mailing Address
MARK JACOB LCSW
16 MOULTON ST E
DECATUR, AL 35601-2310
Phone number: 256-822-2375