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1881655751
DAVID G JACOB
STRATFORD, CT
NPI
1881655751
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 002392)
Enumeration Date
2006-03-30
Last Update Date
2007-07-08
Business Address
-- DAVID G JACOB L.C.S.W
1129 ESSEX PL
STRATFORD, CT 06615-5850
Phone number: 203-377-3600
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Mailing Address
-- DAVID G JACOB L.C.S.W
1129 ESSEX PL
STRATFORD, CT 06615-5850
Phone number: 203-377-3600
Copy
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