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Individual
JEANNA JACOBSEN
Active
Individual
JEANNA JACOBSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
360887-3501
UT
1041C0700X
Clinical Social Worker
Primary
84726
CA
1041C0700X
Clinical Social Worker
L4268
OR
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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