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Individual
JORGE ROMAN
Active
Individual
JORGE ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
149023741
IL
Other
Enumeration date
05/22/2017
Last updated
04/12/2022
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