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1528480944
MARK JACOBSON
GRAND HAVEN, MI
NPI
1528480944
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: MI 6301007693)
Enumeration Date
2014-01-21
Last Update Date
2014-01-21
Business Address
-- MARK JACOBSON M.A.
234 1/2 WASHINGTON AVE
GRAND HAVEN, MI 49417-3307
Phone number: 616-607-4476
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Mailing Address
-- MARK JACOBSON M.A.
518 ADAMS ST
GRAND HAVEN, MI 49417-1029
Phone number: 616-990-5556
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