JACK JACOBSEN

WEBSTER GROVES, MO
NPI1679751291
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MO  2007031620)
Enumeration Date2008-02-06
Last Update Date2021-01-19
Business Address
JACK JACOBSEN MSW, LCSW
24 S GORE AVE
WEBSTER GROVES, MO 63119-2910
Phone number: 314-736-5446
Mailing Address
JACK JACOBSEN MSW, LCSW
3211 ALFRED AVE
SAINT LOUIS, MO 63116-1809
Phone number: 314-569-9731
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