SUSAN LEE JACOBS

BANNING, CA
NPI1841396447
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCS 18269)
Enumeration Date2006-09-15
Last Update Date2007-07-08
Business Address
Mrs. SUSAN LEE JACOBS LCSW
1330 W RAMSEY ST SUITE 100
BANNING, CA 92220-4448
Phone number: 951-849-1742
Mailing Address
Mrs. SUSAN LEE JACOBS LCSW
PO BOX 1103
MORENO VALLEY, CA 92556-1103
Phone number: 951-924-1868