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Individual

MS. JANET ELIZABETH JACOBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
819 5TH ST SE, CEDAR RAPIDS, IA 52401-2128
(319) 398-3943
(888) 632-7914
Mailing address
819 5TH ST SE, CEDAR RAPIDS, IA 52401-2128
(319) 398-3943
(888) 632-7914

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
01115
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01115
LISW
IA
Enumeration date
07/23/2009
Last updated
07/23/2009
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