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1336849546
JACOB DONNELLY, LICENSED CLINICAL SOCIAL WORKER, INC.
BERKELEY, CA
NPI
1336849546
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Entity Type
Organization
Authorized Contact
JACOB DONNELLY
Owner
510-982-6836
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
Enumeration Date
2023-03-07
Last Update Date
2023-03-07
Business Address
JACOB DONNELLY, LICENSED CLINICAL SOCIAL WORKER, INC.
2428 DWIGHT WAY STE 9
BERKELEY, CA 94704-2399
Phone number: 510-982-6836
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Mailing Address
JACOB DONNELLY, LICENSED CLINICAL SOCIAL WORKER, INC.
2428 DWIGHT WAY STE 9
BERKELEY, CA 94704-2399
Phone number: 510-982-6836
Copy
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