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1821540345
STEPHANIE JACOBS
FAIR LAWN, NJ
NPI
1821540345
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: SC 8445)
Enumeration Date
2016-11-01
Last Update Date
2023-05-16
Business Address
STEPHANIE JACOBS LPCA
17-07 ROMAINE ST
FAIR LAWN, NJ 07410-2150
Phone number: 201-797-2660
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Mailing Address
STEPHANIE JACOBS LPCA
417 ROLLING MARSH LN UNIT 101
HARDEEVILLE, SC 29927-2760
Phone number: 201-739-7918
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