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Individual

NANCY T JACOBSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
427 W HOGLE AVE, DELAND, FL 32720-3316
(386) 736-8788
Mailing address
427 W HOGLE AVE, DELAND, FL 32720-3316
(386) 736-8788

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT 997
FL

Other

Enumeration date
01/09/2007
Last updated
07/08/2007
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