Tracy Michelle Jacobs

NPI #1023655750 in Oregon, Illinois

Provider Information

NPI Number: 1023655750
Entity Type: Individual
Name: Tracy Michelle Jacobs
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Dec 2, 2019
Last Updated: Dec 10, 2020

Practice Location

Address: 1658 S IL ROUTE 2
City: Oregon
State: Illinois
ZIP Code: 61061-9514
Phone: (815) 732-2499

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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