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Individual
MR. MATHIAS R OBERT
Active
Individual
MR. MATHIAS R OBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
149.014409
IL
103K00000X
Behavior Analyst
149.014409
IL
1041C0700X
Clinical Social Worker
Primary
149.014409
IL
251S00000X
Community/Behavioral Health Agency
149.014409
IL
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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