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1174629869
ANNETTE L JACOB
SAINT PAUL, MN
NPI
1174629869
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 11266)
Enumeration Date
2006-09-16
Last Update Date
2007-07-08
Business Address
-- ANNETTE L JACOB LICSW
2550 UNIVERSITY AVE W SUITE 435S
SAINT PAUL, MN 55114-1052
Phone number: 651-647-1900
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Mailing Address
-- ANNETTE L JACOB LICSW
2338 DOSWELL AVE
SAINT PAUL, MN 55108-1631
Phone number: 651-647-1900
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