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Jacob Allen Cobb, LMSW

Social Worker in Coeur D Alene, ID. Individual provider (NPI-1).

NPI number1033083530
StatusActive
Last updated in NPPESSep 30, 2025

Details

NPI
1033083530
Entity type
Individual (NPI-1)
Name
Jacob Allen Cobb
Credential
LMSW
Sex
Male
Sole proprietor
No
Enumeration date
Sep 30, 2025
Certification date
Sep 30, 2025
Last updated
Sep 30, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social WorkerLMSW-38102IDYes

Practice location

3700 W Seltice Way
Coeur D Alene, ID 83814-8921

Phone 208-620-5250

Mailing address

3700 W Seltice Way
Coeur D Alene, ID 83814-8921

Phone 208-620-5250

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