Individual
KRISTIN JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
149 ENTERPRISE DR, SOMERSET, KY 42501-6155
(606) 679-6995
Mailing address
149 ENTERPRISE DR, SOMERSET, KY 42501-6155
(606) 679-6995
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6112016
KY
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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