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1841336625
RALPH OLAV JACOBSSON
RIVERSIDE, CA
NPI
1841336625
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS20119)
Enumeration Date
2007-01-29
Last Update Date
2007-07-08
Business Address
Mr. RALPH OLAV JACOBSSON LCSW
9707 MAGNOLIA AVE
RIVERSIDE, CA 92503-3609
Phone number: 951-358-5802
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Mailing Address
Mr. RALPH OLAV JACOBSSON LCSW
5776 JESSE DR
SAN BERNARDINO, CA 92407-2545
Phone number: 909-615-8489
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