Individual
MS. JAMIE JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
17 EMILY LN, PEABODY, MA 01960-1281
(712) 308-4922
Mailing address
17 EMILY LN, PEABODY, MA 01960-1281
(712) 308-4922
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
226680
MA
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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