Individual
KALA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SSP
Contact information
Practice address
2901 TROOST AVE, KANSAS CITY, MO 64109-1538
(816) 418-4891
Mailing address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(314) 989-8150
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
MO
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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