Individual
KIMBERLY ERIN JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
11279 W GRIER RD, MARANA, AZ 85653-9609
(520) 682-4782
(520) 682-4818
Mailing address
5751 N KOLB RD, APARTMENT # 4103, TUCSON, AZ 85750-0873
(520) 395-1391
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
4030966
AZ
Other
Enumeration date
07/18/2008
Last updated
07/18/2008
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