Individual
KATHLEEN RENE JAKOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1 JEFFERSON BARRACKS RD, SAINT LOUIS, MO 63125-4181
(314) 894-6655
(314) 845-5073
Mailing address
217 N MAIN ST, APT. C, WATERLOO, IL 62298-1276
(314) 504-7355
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2007003606
MO
Other
Enumeration date
08/05/2006
Last updated
07/10/2007
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