Individual
MRS. ANGELITA SOUCHAL JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LLP
Contact information
Practice address
4925 PACKARD ST, ANN ARBOR, MI 48108-1521
(734) 971-9781
(734) 971-2730
Mailing address
4925 PACKARD ST, ANN ARBOR, MI 48108-1521
(734) 971-9781
(734) 971-2730
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301008839
MI
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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