Jack Jacobsen, MSW, LCSW
NPI #1679751291 in Webster Groves, Missouri
Provider Information
- NPI Number
- 1679751291
- Entity Type
- Individual
- Name
- Jack Jacobsen, MSW, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW, LCSW
- Enumeration Date
- Feb 6, 2008
- Last Updated
- Jan 19, 2021
Practice Location
- Address
- 24 S GORE AVE
- City
- Webster Groves
- State
- Missouri
- ZIP Code
- 63119-2910
- Phone
- (314) 736-5446
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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