Individual
JENECE MARIE JACOBS-SHARKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 W BROADWAY ST FL 4, MISSOULA, MT 59802-4008
(406) 327-1900
(406) 327-1974
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(406) 327-1900
(406) 327-1974
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
42749
MT
Other
Enumeration date
05/11/2021
Last updated
06/07/2021
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