JOHN JACOB

MANCHESTER, CT
NPI1245616549
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Additional Taxonomies101Y00000X Counselor
Enumeration Date2015-08-10
Last Update Date2019-01-17
Business Address
JOHN JACOB
444 CENTER ST
MANCHESTER, CT 06040-3926
Phone number: 860-646-3888
Mailing Address
JOHN JACOB
995 DAY HILL RD
WINDSOR, CT 06095-1722
Phone number: 860-731-5522
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