Kristine M Jacobs, LCSW

NPI #1861947574 in Mount Pleasant, Wisconsin

Provider Information

NPI Number
1861947574
Entity Type
Individual
Name
Kristine M Jacobs, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Aug 23, 2016
Last Updated
Aug 23, 2016

Practice Location

Address
8800 WASHINGTON AVE
Address 2
SUITE 100
ZIP Code
53406-3701
Phone
(262) 633-3591

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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