Individual
FOREST JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2020 41ST ST, ANACORTES, WA 98221-4412
(253) 377-5102
Mailing address
2020 41ST ST, ANACORTES, WA 98221-4412
(253) 377-5102
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60428750
WA
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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