NPI 1285232124

Edward Jacob

Practitioner Social Worker Frederiksted, VI

Practice location

Address: 24x Stoney Ground, Frederiksted, VI 00841
Phone: (917) 569-8303
Mailing address: PO Box 392, Frederiksted, VI 00841-0392

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 1207 (CT)

Other Social Worker providers in U.S. Virgin Islands →

Registry record

NPI: 1285232124
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Oct 2020
Record last updated: 13 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.