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1730316167
SUSAN JACOBSON
GREAT NECK, NY
NPI
1730316167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: NY 010031)
Enumeration Date
2009-06-11
Last Update Date
2009-06-11
Business Address
Dr. SUSAN JACOBSON
310 E SHORE RD SUITE 301
GREAT NECK, NY 11023-2410
Phone number: 516-661-6666
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Mailing Address
Dr. SUSAN JACOBSON
20548 BRIAN CRES
BAYSIDE, NY 11360-1142
Phone number: 516-661-6666
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