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Individual

MELODY FAYE MABALOT JACOB

Active
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Individual

MELODY FAYE MABALOT JACOB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
110370
CA
1041C0700X
Clinical Social Worker
Primary
110370
CA
1041C0700X
Clinical Social Worker
Primary
141752
CA

Other

Enumeration date
04/22/2019
Last updated
08/28/2026
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