Individual
BROOKE M JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1000 N WESTMORELAND RD, LAKE FOREST, IL 60045-1658
(847) 535-7058
Mailing address
705 INDIAN HILL RD, DEERFIELD, IL 60015-4048
(773) 520-0848
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14916000
IL
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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