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Individual

CAREN JACOBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
229 MAIN ST, SUITE 200, HUNTINGTON, NY 11743-6933
(631) 385-9799
Mailing address
152 SOUNDVIEW RD, HUNTINGTON, NY 11743-4109
(631) 385-9799

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
084778-1
NY

Other

Enumeration date
10/04/2016
Last updated
10/04/2016
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