Individual
SHELLEY M JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
144 US ROUTE 1 STE 2, SCARBOROUGH, ME 04074-7219
(207) 396-7606
(207) 819-6802
Mailing address
144 US ROUTE 1 STE 2, SCARBOROUGH, ME 04074-7219
(207) 396-7606
(207) 819-6802
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC11370
ME
Other
Enumeration date
02/04/2008
Last updated
04/02/2025
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