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1043603145
CHARLES MARTIN JACOBY
LAKELAND, FL
NPI
1043603145
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH10640)
Enumeration Date
2015-03-12
Last Update Date
2015-03-12
Business Address
Mr. CHARLES MARTIN JACOBY LMHC
315 E CARLISLE RD
LAKELAND, FL 33813-1613
Phone number: 863-412-6345
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Mailing Address
Mr. CHARLES MARTIN JACOBY LMHC
315 E CARLISLE RD
LAKELAND, FL 33813-1613
Phone number: 863-412-6345
Copy
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