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1780676577
AMY C. JACOBSON
NEW PALTZ, NY
NPI
1780676577
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R050042-1)
Enumeration Date
2005-08-17
Last Update Date
2007-07-08
Business Address
-- AMY C. JACOBSON LCSW-R
113 N CHESTNUT ST
NEW PALTZ, NY 12561-1005
Phone number: 845-255-3474
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Mailing Address
-- AMY C. JACOBSON LCSW-R
PO BOX 1561
KINGSTON, NY 12402-1561
Phone number: 845-943-0405
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