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Desiree Jacobs, LMSW

Social Worker in Edmond, OK. Individual provider (NPI-1).

NPI number1447876990
StatusActive
Last updated in NPPESFeb 13, 2025

Details

NPI
1447876990
Entity type
Individual (NPI-1)
Name
Desiree Jacobs
Credential
LMSW
Sex
Female
Sole proprietor
No
Enumeration date
Jun 21, 2020
Certification date
Feb 13, 2025
Last updated
Feb 13, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker20910OKYes

Practice location

301 Katie Michelle Blvd
Edmond, OK 73034-8271

Phone 405-920-2263

Mailing address

301 Katie Michelle Blvd
Edmond, OK 73034-8271

Phone 405-920-2263

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