Individual
KAREN REBECCA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
6100 NEWPORT RD STE 222, PORTAGE, MI 49002-9235
(269) 488-5929
Mailing address
4695 PALMBROOK LN, KALAMAZOO, MI 49004-3754
(269) 377-5403
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851117682
MI
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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