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1245246503
SUSAN M. JACOB
NEWPORT BEACH, CA
NPI
1245246503
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: CA MFT25105)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
DR. SUSAN M. JACOB PH.D.
1101 DOVE ST SUITE 160
NEWPORT BEACH, CA 92660-2839
Phone number: 949-851-5022
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Mailing Address
DR. SUSAN M. JACOB PH.D.
1101 DOVE ST SUITE 160
NEWPORT BEACH, CA 92660-2839
Phone number: 949-851-5022
Copy
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