Individual
ANGELA JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 E 10TH ST, TUCSON, AZ 85719-5813
(520) 225-6410
Mailing address
951 W ORANGE GROVE RD APT 71202, TUCSON, AZ 85704-4078
(520) 229-1578
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
976277
—
AZ
Enumeration date
03/27/2007
Last updated
07/26/2007
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