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1679317200
JACOB DIDDENS
NASHVILLE, TN
NPI
1679317200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: TN LSW0000014921)
Enumeration Date
2024-06-19
Last Update Date
2024-06-19
Business Address
JACOB DIDDENS LMSW
210 25TH AVE N STE 601
NASHVILLE, TN 37203-1631
Phone number: 815-541-4663
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Mailing Address
JACOB DIDDENS LMSW
1803 BROADWAY APT 609
NASHVILLE, TN 37203-2767
Phone number: 815-541-5668
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