MR. Gary Michael Jacobson, LCSW, CASAC

NPI #1073692695 in New Paltz, New York

Provider Information

NPI Number
1073692695
Entity Type
Individual
Name
MR. Gary Michael Jacobson, LCSW, CASAC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW, CASAC
Enumeration Date
Nov 3, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
7 PROSPECT ST
ZIP Code
12561-1137
Phone
(845) 256-2220

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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