Individual
MRS. CASSIE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
708 MOBJACK PL, NEWPORT NEWS, VA 23606-1957
(518) 290-6157
Mailing address
708 MOBJACK PL, NEWPORT NEWS, VA 23606-1957
(757) 693-4285
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009094
VA
Other
Enumeration date
07/28/2015
Last updated
04/28/2020
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