Kristie Ann Jacobsen

NPI #1144952797 in South Bend, Indiana

Provider Information

NPI Number: 1144952797
Entity Type: Individual
Name: Kristie Ann Jacobsen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Jun 30, 2022
Last Updated: Jun 30, 2022

Practice Location

Address: 3631 EDISON RD STE 2
City: South Bend
State: Indiana
ZIP Code: 46615-3715
Phone: (800) 270-3756

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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