Individual
CATHERINE ALICE JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 S CHURCH ST, SUITE 14, MOUNT LAUREL, NJ 08054-2936
(609) 304-4949
Mailing address
74 FARNWOOD RD, MOUNT LAUREL, NJ 08054-2921
(856) 802-1968
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00096300
NJ
Other
Enumeration date
06/04/2008
Last updated
06/04/2008
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