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1770216145
STEPHEN JACOBSEN
VERNON, CT
NPI
1770216145
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: CT 6479)
Enumeration Date
2022-07-05
Last Update Date
2023-06-11
Business Address
STEPHEN JACOBSEN LMSW
550 HARTFORD TPKE
VERNON, CT 06066-5017
Phone number: 860-870-5997
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Mailing Address
STEPHEN JACOBSEN LMSW
550 HARTFORD TPKE
VERNON, CT 06066-5017
Phone number: 860-870-5997
Copy
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