SUE JACOBSON

SHAWNEE, KS
NPI1164836581
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: KS  260)
Enumeration Date2014-06-13
Last Update Date2014-06-13
Business Address
SUE JACOBSON LAC
6221 RICHARDS DR
SHAWNEE, KS 66216-1724
Phone number: 913-248-1943
Mailing Address
SUE JACOBSON LAC
130 E 5TH ST PO BOX 711
NEWTON, KS 67114-2206
Phone number: 316-283-6743
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