Individual
KARA JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
219 GOODING ST N, TWIN FALLS, ID 83301-6178
(208) 734-5230
Mailing address
219 GOODING ST N, TWIN FALLS, ID 83301-6178
(208) 734-5230
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW-35838
ID
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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