MARY JACOBSON

LA CROSSE, WI
NPI1912524976
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI  19001-130)
Enumeration Date2020-06-25
Last Update Date2020-06-25
Business Address
MARY JACOBSON SW,SAC-IT
300 4TH ST N
LA CROSSE, WI 54601-3228
Phone number: 608-784-4357
Mailing Address
MARY JACOBSON SW,SAC-IT
300 4TH ST N
LA CROSSE, WI 54601-3228
Phone number: 608-784-4357
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