Individual
ANDREA JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10801 S WESTERN AVE STE 2B, CHICAGO, IL 60643-3225
(708) 586-7357
Mailing address
2045 N LARRABEE ST APT 7308, CHICAGO, IL 60614-4410
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.108878
IL
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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