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1316095714
AMY LEE JACOBS
ITHACA, NY
NPI
1316095714
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 078271)
Enumeration Date
2007-01-08
Last Update Date
2011-12-22
Business Address
Ms. AMY LEE JACOBS LISW
127 WEST STATE ST
ITHACA, NY 14850-5474
Phone number: 607-273-7494
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Mailing Address
Ms. AMY LEE JACOBS LISW
127 W STATE ST
ITHACA, NY 14850-5474
Phone number: 607-273-7497
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