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Individual

ADAM JACOBSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW, MSOD

Contact information

Practice address
158 W 81ST ST, SUITE # 51, NEW YORK, NY 10024-5954
(212) 875-1867
(212) 875-1867
Mailing address
158 W 81ST ST, SUITE # 51, NEW YORK, NY 10024-5954
(212) 875-1867
(212) 875-1867

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
NY

Other

Enumeration date
03/09/2007
Last updated
07/08/2007
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