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Organization
JENNIFER L JACOBY LLC
Active
Organization
JENNIFER L JACOBY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LOUISE JACOBY LMFT (PSYCHOTHERAPIST)
(612) 804-2276
Entity
Organization
Contact information
Practice address
935 WINSLOW AVE, WEST SAINT PAUL, MN 55118-1340
(612) 804-2276
Mailing address
935 WINSLOW AVE, WEST SAINT PAUL, MN 55118-1340
(612) 804-2276
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1265
MN
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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