Individual
MRS. TAMMY MARIA JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1845 S DOBSON RD, SUITE 204, MESA, AZ 85202-5661
(480) 688-7414
Mailing address
848 N 91ST WAY, MESA, AZ 85207-5102
(480) 688-7414
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-11928
AZ
Other
Enumeration date
09/14/2007
Last updated
03/26/2009
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