Individual
MAIA JACOBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, MSW
Contact information
Practice address
9633 LEVIN RD NW, SILVERDALE, WA 98383-8131
(360) 698-5883
Mailing address
22330 APOLLO DR NE, POULSBO, WA 98370-6704
(203) 731-7477
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC61120302
WA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/01/2017
Last updated
11/07/2022
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