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1245285295
MARK JACOB
DECATUR, AL
NPI
1245285295
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: AL 1081C)
Enumeration Date
2006-05-24
Last Update Date
2023-01-25
Business Address
MARK JACOB LCSW
251 JOHNSTON ST SE STE 100
DECATUR, AL 35601-2515
Phone number: 256-822-2375
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Mailing Address
MARK JACOB LCSW
16 MOULTON ST E
DECATUR, AL 35601-2310
Phone number: 256-822-2375
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