Individual
COURTNEY JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422
(763) 581-6400
(763) 581-6401
Mailing address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 581-6400
(763) 581-6401
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22183
MN
Other
Enumeration date
01/09/2017
Last updated
12/21/2018
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