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Individual

MRS. BARRIE ROBIN JACOBSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
600 MAPLE AVE STE 3, HONESDALE, PA 18431-1436
(570) 253-1005
Mailing address
600 MAPLE AVE STE 3, HONESDALE, PA 18431-1436
(570) 253-1005

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
069489
NY
1041C0700X
Clinical Social Worker
Primary
CW018431
PA

Other

Enumeration date
10/26/2005
Last updated
08/27/2020
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