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1386996866
JACQUETTE JACOBS
PIKESVILLE, MD
NPI
1386996866
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MD LC4304)
Enumeration Date
2012-10-09
Last Update Date
2012-10-09
Business Address
-- JACQUETTE JACOBS LCPC
9050 IRON HORSE LN APT 121
PIKESVILLE, MD 21208-2154
Phone number: 240-468-8476
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Mailing Address
-- JACQUETTE JACOBS LCPC
9050 IRON HORSE LN APT 121
PIKESVILLE, MD 21208-2154
Phone number: 240-468-8476
Copy
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