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Individual

STEPHEN JACOBSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
19 KENSINGTON LN, ROCKY HILL, CT 06067-3658
(860) 409-7350
(860) 757-3674
Mailing address
19 KENSINGTON LN, ROCKY HILL, CT 06067-3658
(860) 409-7350
(860) 757-3674

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6479
CT

Other

Enumeration date
07/05/2022
Last updated
06/20/2025
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