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1497089247
LOGAN MICHELE JACOBSON
GLENDALE, NY
NPI
1497089247
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2009-09-28
Last Update Date
2022-07-21
Business Address
-- LOGAN MICHELE JACOBSON
67-29 MYRTLE AVE GLENDALE MENTAL HEALTH CLINIC
GLENDALE, NY 11385
Phone number: 631-404-8277
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Mailing Address
-- LOGAN MICHELE JACOBSON
67-29 MYRTLE AVE
GLENDALE, NY 11385
Phone number: 631-404-8277
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