Individual
JACQUELYN JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
448 NEAL ST, COOKEVILLE, TN 38501-4027
(931) 525-6970
Mailing address
3755 BIG BOTTOM RD, WHITLEYVILLE, TN 38588-7438
(602) 686-4833
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000005923
TN
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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