Jacobsen, Mallory Lynn

Jacobsen, Mallory Lynn is an individual health care provider with primary practice located at 9400 Zane Ave N , Brooklyn Park MN 55443-1814. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jacobsen, Mallory Lynn can be contacted via phone (763) 762-6872.

Contact Information

Primary practice address
9400 Zane Ave N Brooklyn Park MN 55443-1814
Phone: (763) 762-6872
Fax: (763) 315-3539
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 28118 Minnesota

Profile Details

NPI number 1578971842
LBN Legal business name Jacobsen, Mallory Lynn
Credentials MSW, LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2014
Last updated Jul 8th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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