Individual
EMILY JACOBSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 10TH ST W, SAINT PAUL, MN 55102-1062
(651) 232-3584
Mailing address
435 LEXINGTON PKWY S, SAINT PAUL, MN 55105-2964
(651) 249-5658
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20510
MN
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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