Individual
ALICIA JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
101 E MAIN ST STE 210, REXBURG, ID 83440-2017
(208) 357-3104
(888) 990-2826
Mailing address
101 E MAIN ST STE 210, REXBURG, ID 83440-2017
(208) 357-3104
(888) 990-2826
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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