Individual
STACIE JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
879 S OREM BLVD STE 1, OREM, UT 84058-5030
(801) 801-8608
Mailing address
879 S OREM BLVD STE 1, OREM, UT 84058-5030
(801) 801-8608
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
UT
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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