Mary Jacobs, LSW

NPI #1144680448 in Lorain, Ohio

Provider Information

NPI Number: 1144680448
Entity Type: Individual
Name: Mary Jacobs, LSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Feb 29, 2016
Last Updated: Feb 29, 2016

Practice Location

Address: 2173 N RIDGE RD E
Address 2: SUITE E
City: Lorain
State: Ohio
ZIP Code: 44055-3400
Phone: (440) 234-2006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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