Individual
ANNE MARIE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 MARSHALL ST APT 1O, IRVINGTON, NJ 07111-3649
(201) 852-7713
Mailing address
20 MARSHALL ST APT 1O, IRVINGTON, NJ 07111-3649
(201) 852-7713
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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