Individual
KRISTINA CARLILE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
(816) 922-3307
Mailing address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
(816) 922-3307
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
22701
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22701
LMSW
TX
Enumeration date
07/26/2006
Last updated
07/08/2007
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