Individual
BROOKE ELIZABETH JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-C
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
(616) 281-6459
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
(616) 281-6459
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801119204
MI
1041C0700X
Clinical Social Worker
6801119204
MI
Other
Enumeration date
05/18/2022
Last updated
03/05/2025
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