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1417291394
MINDY R JACOBSON
LAKEWOOD, NJ
NPI
1417291394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC05525100)
Enumeration Date
2012-11-16
Last Update Date
2016-08-11
Business Address
-- MINDY R JACOBSON LCSW
1771 MADISON AVE
LAKEWOOD, NJ 08701
Phone number: 732-364-2144
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Mailing Address
-- MINDY R JACOBSON LCSW
1771 MADISON AVE
LAKEWOOD, NJ 08701
Phone number: 732-364-2144
Copy
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