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Individual

MS. AUDREY D JACOBSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
731 SAW MILL RIVER RD, STE 7, ARDSLEY, NY 10502
(914) 693-5463
(914) 674-2811
Mailing address
731 SAW MILL RIVER RD, STE 7, ARDSLEY, NY 10502
(914) 693-5463
(914) 674-2811

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R0368741
NY

Other

Enumeration date
03/30/2006
Last updated
07/08/2007
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