Individual
SYDNEY ELIZABETH JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1609 N PROSPECT AVE, #804, MILWAUKEE, WI 53202-2492
(920) 901-6665
Mailing address
1609 N PROSPECT AVE, #804, MILWAUKEE, WI 53202-2492
(920) 901-6665
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8523
WI
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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