Organization
DELLE JACOBS, LIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DELLE MARIAN JACOBS LICSW (LICENSED SOCIAL WORKER)
(651) 642-9883
Entity
Organization
Contact information
Practice address
91 SNELLING AVE N, SUITE 230, SAINT PAUL, MN 55104-6753
(651) 642-9883
(651) 642-5909
Mailing address
91 SNELLING AVE N, SUITE 230, SAINT PAUL, MN 55104-6753
(651) 642-9883
(651) 642-5909
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1785
MN
106H00000X
Marriage & Family Therapist
699
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298057600
—
MN
Enumeration date
01/21/2008
Last updated
02/12/2013
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