GRACE K JACOBSON

ASTORIA, OR
NPI1750920443
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MN  LP6492)
Enumeration Date2019-12-30
Last Update Date2023-01-09
Business Address
GRACE K JACOBSON PsyD
1 12TH ST STE 208
ASTORIA, OR 97103-4146
Phone number: 503-470-1520
Mailing Address
GRACE K JACOBSON PsyD
1 12TH ST STE 208
ASTORIA, OR 97103-4146
Phone number: 503-470-1520