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1750804506
MELANIE JACOBSEN
LAUREL, MS
NPI
1750804506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: MS 199)
Enumeration Date
2017-07-24
Last Update Date
2017-07-24
Business Address
MELANIE JACOBSEN CCSS
1721 W 10TH ST
LAUREL, MS 39440-2540
Phone number: 601-425-9233
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Mailing Address
MELANIE JACOBSEN CCSS
PO BOX 18679
HATTIESBURG, MS 39404-8679
Phone number:
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