Lori Jacobson, LCSW

NPI #1871643932 in Bunnell, Florida

Provider Information

NPI Number
1871643932
Entity Type
Individual
Name
Lori Jacobson, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Jan 11, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
103 BAY STREET
State
Florida
ZIP Code
32137
Phone
(386) 864-1744

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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