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1124856745
TIANA JACOBS
FAIRFIELD, CA
NPI
1124856745
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA AMFT148524)
Enumeration Date
2024-07-24
Last Update Date
2024-08-01
Business Address
TIANA JACOBS
801 EMPIRE ST
FAIRFIELD, CA 94533-5702
Phone number: 707-425-5744
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Mailing Address
TIANA JACOBS
801 EMPIRE ST
FAIRFIELD, CA 94533-5702
Phone number: 707-425-5744
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