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1225173982
NANCY BROKAW JACOBS
MILL VALLEY, CA
NPI
1225173982
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS13347)
Enumeration Date
2007-02-20
Last Update Date
2007-07-08
Business Address
-- NANCY BROKAW JACOBS LCSW
239 MILLER AVE
MILL VALLEY, CA 94941-2841
Phone number: 415-383-4079
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Mailing Address
-- NANCY BROKAW JACOBS LCSW
4 SALT CREEK LN
MILL VALLEY, CA 94941-4303
Phone number: 415-383-4074
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