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1316133382
BERTHA ELIZABETH JACOBS
SYRACUSE, NY
NPI
1316133382
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Other Name
BERTHA ELIZABETH BYNOE JACOBS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 036843)
Enumeration Date
2007-09-24
Last Update Date
2007-09-24
Business Address
Ms. BERTHA ELIZABETH JACOBS LCSW R
226 RANDOLPH STREET
SYRACUSE, NY 13205
Phone number: 315-492-6094
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Mailing Address
Ms. BERTHA ELIZABETH JACOBS LCSW R
226 RANDOLPH STREET
SYRACUSE, NY 13205
Phone number: 315-492-6094
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