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1992923635
KIAN FAY JACOBS
ORMOND BEACH, FL
NPI
1992923635
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 006388)
Enumeration Date
2007-04-20
Last Update Date
2020-08-25
Business Address
Ms. KIAN FAY JACOBS LCSW
17 JUNIPER DR
ORMOND BEACH, FL 32176-2405
Phone number: 860-817-3175
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Mailing Address
Ms. KIAN FAY JACOBS LCSW
108 TIMBERLINE TRAIL
ORMOND BEACH, FL 32174-4925
Phone number: 860-817-3175
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