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1497779425
BRIAN PAUL JACOBS
SEBASTOPOL, CA
NPI
1497779425
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS20203)
Enumeration Date
2006-07-26
Last Update Date
2024-02-19
Business Address
Mr. BRIAN PAUL JACOBS LCSW
339 S MAIN ST
SEBASTOPOL, CA 95472-4208
Phone number: 707-829-5474
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Mailing Address
Mr. BRIAN PAUL JACOBS LCSW
8850 STORI LN
SEBASTOPOL, CA 95472-2462
Phone number: 707-829-5474
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