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1992185102
JULIET JACOB
BRIDGEPORT, CT
NPI
1992185102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-06-02
Last Update Date
2015-06-02
Business Address
-- JULIET JACOB
3250 FAIRFIELD AVE APT 317
BRIDGEPORT, CT 06605-3273
Phone number: 860-201-3492
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Mailing Address
-- JULIET JACOB
3250 FAIRFIELD AVE APT 317
BRIDGEPORT, CT 06605-3273
Phone number: 860-201-3492
Copy
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