Individual
BLAISE YAEL JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
279 E 3RD ST, NEW YORK, NY 10009-7813
(347) 344-8497
Mailing address
279 E 3RD ST, NEW YORK, NY 10009-7813
(347) 344-8497
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
113031
NY
Other
Enumeration date
10/19/2021
Last updated
04/04/2022
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