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1356074884
JACOB BROWN
PHOENIX, AZ
NPI
1356074884
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: AZ LAC-21117)
Enumeration Date
2022-07-01
Last Update Date
2022-07-01
Business Address
JACOB BROWN LAC
2102 W BETHANY HOME RD
PHOENIX, AZ 85015-1935
Phone number: 602-774-4745
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Mailing Address
JACOB BROWN LAC
4910 E FAIRFIELD ST
MESA, AZ 85205-5346
Phone number: 480-329-4621
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