Individual
ABBIGALE JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
(612) 331-9413
Mailing address
4430 CHOWEN AVE S APT 204, MINNEAPOLIS, MN 55410-1311
(952) 303-9159
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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