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Individual
MRS. MARY E. JACOBY
Active
Individual
MRS. MARY E. JACOBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
088260-1
NY
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
01/05/2010
Last updated
03/10/2015
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