Individual
CARLY JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
120 BROADWAY, CHELSEA, MA 02150-2606
(781) 254-7714
Mailing address
19 PINEVALE AVE, READING, MA 01867-3828
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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