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1841396447
SUSAN LEE JACOBS
BANNING, CA
NPI
1841396447
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 18269)
Enumeration Date
2006-09-15
Last Update Date
2007-07-08
Business Address
Mrs. SUSAN LEE JACOBS LCSW
1330 W RAMSEY ST SUITE 100
BANNING, CA 92220-4448
Phone number: 951-849-1742
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Mailing Address
Mrs. SUSAN LEE JACOBS LCSW
PO BOX 1103
MORENO VALLEY, CA 92556-1103
Phone number: 951-924-1868
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