Individual
KAREN R JACOBSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
220 COMMERCE DR, SUITE 401, FORT WASHINGTON, PA 19034-2402
(215) 540-5860
(215) 540-5864
Mailing address
220 COMMERCE DR, SUITE 401, FORT WASHINGTON, PA 19034-2402
(215) 540-5860
(215) 540-5864
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW014446
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
072586
MEDICARE
PA
Enumeration date
03/31/2006
Last updated
07/08/2007
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