Individual
COURTNEY M. JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
440 S MARKET AVE, SPRINGFIELD, MO 65806-2026
(417) 496-2509
Mailing address
3520 S FERGUSON AVE, SPRINGFIELD, MO 65807-4316
(417) 887-1977
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2004024437
MO
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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