Individual
SUSIE NOEL JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
13 CROW HILL RD, UNCASVILLE, CT 06382-1118
(860) 862-6133
Mailing address
13 CROW HILL RD, UNCASVILLE, CT 06382-1118
(860) 862-6133
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3358
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NOT BILLING AT PRESENT
—
Enumeration date
09/29/2021
Last updated
09/29/2021
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