Individual
JACY JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-3519
Mailing address
2433 EMERSON AVE S, MINNEAPOLIS, MN 55405-2600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
29989
MN
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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