Individual
MRS. KRISTEN A. JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
346 TAFT AVE, 030, GLEN ELLYN, IL 60137-6296
(630) 956-2528
Mailing address
1010 CURTISS ST, C6, DOWNERS GROVE, IL 60515-4769
(630) 956-2528
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.012815
IL
Other
Enumeration date
05/27/2010
Last updated
11/08/2010
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