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1801865977
TARA ELIZABETH JACOBSON
VENICE, FL
NPI
1801865977
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2006-03-14
Last Update Date
2007-07-08
Business Address
Mrs. TARA ELIZABETH JACOBSON BS
2210 S TAMIAMI TRAIL #10
VENICE, FL 34293
Phone number: 941-497-7742
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Mailing Address
Mrs. TARA ELIZABETH JACOBSON BS
2210 S TAMIAMI TRAIL #10
VENICE, FL 34293
Phone number: 941-497-7742
Copy
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