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1487001491
JUSTINE JACOBS
MEDFORD, NJ
NPI
1487001491
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC05645900)
Enumeration Date
2016-05-19
Last Update Date
2016-05-19
Business Address
-- JUSTINE JACOBS LCSW
560 STOKES RD 13 A-6
MEDFORD, NJ 08055-2905
Phone number: 609-820-7332
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Mailing Address
-- JUSTINE JACOBS LCSW
9 BROTHERTON RD
SHAMONG, NJ 08088-8534
Phone number: 609-820-7332
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