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1013058320
SUSAN CHARLOTTE JACOBSEN
WAKEFIELD, RI
NPI
1013058320
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: RI MHC00294)
Enumeration Date
2007-02-09
Last Update Date
2007-07-08
Business Address
-- SUSAN CHARLOTTE JACOBSEN LMHC
64 INDIAN RUN TRL
WAKEFIELD, RI 02879-1908
Phone number: 401-742-1430
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Mailing Address
-- SUSAN CHARLOTTE JACOBSEN LMHC
64 INDIAN RUN TRL
WAKEFIELD, RI 02879-1908
Phone number: 401-742-1430
Copy
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