Courtney M. Jacobson LCSW

NPI 1073680377 - Social Worker - 104100000X

NPI Details
NPI 1073680377
Gender Female
Enumeration Date 11/29/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
440 S MARKET AVE
SPRINGFIELD MO, 65806-2026, US
Phone (417) 496-2509
Fax
Business Location
3520 S FERGUSON AVE
SPRINGFIELD MO, 65807-4316, US
Phone (417) 887-1977
Fax
Toxanomy
Taxonomy Code 104100000X
License State Missouri
License Number 2004024437
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According to our database, Courtney M. Jacobson LCSW NPI is 1073680377, taxonomy code is 104100000X and license number is 2004024437, license state is located at Missouri. Courtney M. Jacobson LCSW physically located at 440 S Market Ave, Springfield MO, 65806-2026. NPI Number Courtney M. Jacobson LCSW has the Individual type.

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1073680377 NPI number is provided on an as is basis without warranty of any kind. 1073680377 is maintained by the National Plan & Provider Enumeration System. The contents of Courtney M. Jacobson LCSW are for informational purposes only.