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Individual
MS. HILARY C JACOBS
Active
Individual
MS. HILARY C JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
106868
MA
101YA0400X
Addiction (Substance Use Disorder) Counselor
146
MA
1041C0700X
Clinical Social Worker
Primary
106868
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P04313
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/01/2007
Last updated
08/10/2011
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