Individual
MR. DANIEL ALLEN JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
3601 CHAMBERLAYNE AVE, RICHMOND, VA 23227
(804) 321-4980
(804) 321-4775
Mailing address
3601 CHAMBERLAYNE AVE, RICHMOND, VA 23227
(804) 321-4980
(804) 321-4775
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904000603
VA
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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