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1245984186
ELYSSA E JACOBS
TARZANA, CA
NPI
1245984186
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 92344)
Enumeration Date
2022-02-09
Last Update Date
2022-02-09
Business Address
ELYSSA E JACOBS
18646 OXNARD ST
TARZANA, CA 91356-1486
Phone number: 818-996-1051
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Mailing Address
ELYSSA E JACOBS
5412 LINDLEY AVE UNIT 207
ENCINO, CA 91316-1918
Phone number: 818-267-4020
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