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1124616982
JANE JACOB
COMMERCE, CA
NPI
1124616982
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 119463)
Enumeration Date
2021-01-07
Last Update Date
2024-05-07
Business Address
JANE JACOB
5400 E OLYMPIC BLVD FL 1
COMMERCE, CA 90022-5147
Phone number: 323-869-9255
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Mailing Address
JANE JACOB
815 COLORADO BLVD STE 300
LOS ANGELES, CA 90041-1744
Phone number: 323-543-2800
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