Individual
CAROLYN M JACOBY
Active
Individual
CAROLYN M JACOBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60614321
WA
1041C0700X
Clinical Social Worker
SW11574
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LW60614321
LICSW
WA
01
—
SW11574
LCSW
FL
Enumeration date
06/30/2015
Last updated
07/26/2018
Update your record
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