Individual
MR. DAVID JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLMSW
Contact information
Practice address
40 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4304
(616) 356-6245
Mailing address
7475 PACKER DR NE, PO BOX 67, BELMONT, MI 49306-9229
(586) 556-0324
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801087860
MI
Other
Enumeration date
03/08/2007
Last updated
04/08/2009
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