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1114941085
LARRY ALAN JACOBS
SAN RAFAEL, CA
NPI
1114941085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC12700)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
MR. LARRY ALAN JACOBS MFT
900 5TH AVE SUITE 203
SAN RAFAEL, CA 94901-2959
Phone number: 415-978-9229
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Mailing Address
MR. LARRY ALAN JACOBS MFT
PO BOX 151268
SAN RAFAEL, CA 94915-1268
Phone number: 415-507-2725
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