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1043804289
BRADLEY JACOBS
EAST ORANGE, NJ
NPI
1043804289
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 085502)
Enumeration Date
2021-03-01
Last Update Date
2021-03-02
Business Address
Mr. BRADLEY JACOBS LCSW
385 TREMONT AVE
EAST ORANGE, NJ 07018-1023
Phone number: 973-676-1000
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Mailing Address
Mr. BRADLEY JACOBS LCSW
42 HERBERT TER
WEST ORANGE, NJ 07052-1076
Phone number: 917-697-2687
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