Individual
CAITLYN GRACE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
218 FAST ICE DR, MIDLAND, MI 48642-6167
(989) 631-2320
(989) 631-9903
Mailing address
8755 CARTER RD APT 24, FREELAND, MI 48623-8768
(989) 714-8850
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851117510
MI
1041C0700X
Clinical Social Worker
6851117510
MI
Other
Enumeration date
09/16/2022
Last updated
01/11/2024
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