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Individual
JACOB JOSEF YARVIS
Active
Individual
JACOB JOSEF YARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
228420
MA
1041C0700X
Clinical Social Worker
Primary
1120265
MA
Other
Enumeration date
08/05/2024
Last updated
07/23/2025
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