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1447876354
ASHLEY MARIAM JACOB
TROY, MI
NPI
1447876354
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6301019377)
Enumeration Date
2020-06-17
Last Update Date
2024-09-13
Business Address
ASHLEY MARIAM JACOB PsyD
1777 AXTELL DR STE 100
TROY, MI 48084-4400
Phone number: 248-787-3831
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Mailing Address
ASHLEY MARIAM JACOB PsyD
25729 SALEM ST
ROSEVILLE, MI 48066-3856
Phone number: 586-879-5953
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