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Individual
MR. JACOB ANDREW MARCIEL
Active
Individual
MR. JACOB ANDREW MARCIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
CA
1041C0700X
Clinical Social Worker
Primary
73566
CA
1041C0700X
Clinical Social Worker
ASW34446
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73566
BOARD OF BEHAVIORAL SCIENCES (BBS)
CA
Enumeration date
09/14/2010
Last updated
06/02/2021
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