Individual
ALISON ELIZABETH JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1385 RUFFNER RD, NISKAYUNA, NY 12309-2537
(518) 377-2647
Mailing address
1385 RUFFNER RD, NISKAYUNA, NY 12309-2537
(518) 377-2647
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
040264
NY
Other
Enumeration date
08/15/2009
Last updated
04/03/2012
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