Catherine Alice Jacobsen

NPI 1104085224 - Social Worker - 1041C0700X

NPI Details
NPI 1104085224
Gender Female
Enumeration Date 06/04/2008
Last Updated 06/04/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1200 S CHURCH ST
SUITE 14
MOUNT LAUREL NJ, 08054-2936, US
Phone (609) 304-4949
Fax
Business Location
74 FARNWOOD RD
MOUNT LAUREL NJ, 08054-2921, US
Phone (856) 802-1968
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State New Jersey
License Number 44SC00096300
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According to our database, Catherine Alice Jacobsen NPI is 1104085224, taxonomy code is 1041C0700X and license number is 44SC00096300, license state is located at New Jersey. Catherine Alice Jacobsen physically located at 1200 S Church St, Mount Laurel NJ, 08054-2936. NPI Number Catherine Alice Jacobsen has the Individual type.

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1104085224 NPI number is provided on an as is basis without warranty of any kind. 1104085224 is maintained by the National Plan & Provider Enumeration System. The contents of Catherine Alice Jacobsen are for informational purposes only.