Individual
DIANA MARY JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-6653
Mailing address
706 BIRCH ST, EDMONDS, WA 98020-4634
(206) 280-6042
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60696526
WA
Other
Enumeration date
10/07/2024
Last updated
09/23/2025
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