Individual
CLAIRE NICOLE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
32715 DORSEY ST, WESTLAND, MI 48186-4755
(734) 641-1141
Mailing address
32715 DORSEY ST, WESTLAND, MI 48186-4755
(734) 641-1141
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801090729
MI
Other
Enumeration date
12/12/2012
Last updated
09/12/2023
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