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1336191485
JACOB FONDIE
BROOKLYN, NY
NPI
1336191485
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R031678-1)
Enumeration Date
2006-05-17
Last Update Date
2007-07-08
Business Address
-- JACOB FONDIE LCSW
800 POLY PL
BROOKLYN, NY 11209-7104
Phone number: 718-836-6600
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Mailing Address
-- JACOB FONDIE LCSW
642 WASHINGTON ST
NEW YORK, NY 10014-6327
Phone number: 212-366-1727
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