MARY CASEY JACOB

FARMINGTON, CT
NPI1083612246
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: CT  001621)
Enumeration Date2005-07-12
Last Update Date2014-02-19
Business Address
-- MARY CASEY JACOB Ph.D.
263 FARMINGTON AVE
FARMINGTON, CT 06030-0001
Phone number: 860-679-4550
Mailing Address
-- MARY CASEY JACOB Ph.D.
263 FARMINGTON AVE PROVIDER ENROLLMENT
FARMINGTON, CT 06030-2212
Phone number: 860-679-7503
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