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1770718603
SUE L. JACOBS
OLATHE, KS
NPI
1770718603
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-05-21
Last Update Date
2009-05-21
Business Address
Dr. SUE L. JACOBS PhD
16456 S FELLOWS ST
OLATHE, KS 66062-7862
Phone number: 816-820-9740
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Mailing Address
Dr. SUE L. JACOBS PhD
1011 KING STREET
OVERLAND PARK, KS 66210
Phone number: 913-642-3134
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