Individual
LAURA JEAN JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2500 HALL AVE, SUITE A MARINETTE COUNTY HEALTH AND HUMAN SERVICES, MARNIETTE, WI 54143
(715) 732-7760
(715) 732-7711
Mailing address
2500 HALL AVE, SUITE A MARINETTE COUNTY HEALTH AND HUMAN SERVICES, MARNIETTE, WI 54143
(715) 732-7760
(715) 732-7711
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1140125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1140125
LICENSE #
WI
05
—
39189000
—
WI
Enumeration date
10/12/2006
Last updated
07/08/2007
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