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1508695842
JACOB SAMUEL DAVIS
MONROE, NC
NPI
1508695842
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P020630)
Enumeration Date
2024-07-26
Last Update Date
2024-08-13
Business Address
JACOB SAMUEL DAVIS MSW, LCSWA
701 E ROOSEVELT BLVD STE 600
MONROE, NC 28112-4106
Phone number: 704-296-6200
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Mailing Address
JACOB SAMUEL DAVIS MSW, LCSWA
284 EXECUTIVE PARK DR
CONCORD, NC 28025-1831
Phone number: 704-939-1100
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