Individual
MS. LOUISE E. JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
223 E 14TH ST, STE 240, HASTINGS, NE 68901-3239
(402) 460-8191
Mailing address
PO BOX 174, HASTINGS, NE 68902-0174
(402) 460-8191
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
947
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025358700
—
NE
Enumeration date
08/16/2005
Last updated
09/13/2017
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