MRS. Mary W. Jacobs, LICSW

NPI #1871772632 in Waban, Massachusetts

Provider Information

NPI Number: 1871772632
Entity Type: Individual
Name: MRS. Mary W. Jacobs, LICSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Oct 29, 2007
Last Updated: Oct 29, 2007

Practice Location

Address: 31 WHITE OAK RD
City: Waban
State: Massachusetts
ZIP Code: 02468-1322
Phone: (617) 969-2356

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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