Tracie Jacobs, MA
NPI #1093845083 in South Bend, Indiana
Provider Information
- NPI Number
- 1093845083
- Entity Type
- Individual
- Name
- Tracie Jacobs, MA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Credential
- MA
- Enumeration Date
- Mar 7, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 403 E MADISON ST
- City
- South Bend
- State
- Indiana
- ZIP Code
- 46617-2322
- Phone
- (574) 283-1107
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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