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1033135835
LESLIE JACOBSEN
NEW HAVEN, CT
NPI
1033135835
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CT 030919)
Enumeration Date
2006-07-14
Last Update Date
2007-07-08
Business Address
-- LESLIE JACOBSEN M.D.
2 CHURCH ST S SUITE 207
NEW HAVEN, CT 06519-1717
Phone number: 203-764-8480
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Mailing Address
-- LESLIE JACOBSEN M.D.
45 RESERVOIR ST
NEW HAVEN, CT 06511-1227
Phone number: 203-624-6932
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