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1255190161
ALYSSA JACOBS
MASSAPEQUA, NY
NPI
1255190161
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-03-14
Last Update Date
2024-03-14
Business Address
ALYSSA JACOBS
75 GRAND AVE
MASSAPEQUA, NY 11758-4905
Phone number: 516-799-3203
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Mailing Address
ALYSSA JACOBS
56 BROADWAY
MASSAPEQUA PARK, NY 11762-2813
Phone number: 347-229-3551
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