Individual
MR. JEROME MICHAEL LOBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.W.
Contact information
Practice address
1501 AIRPORT RD., WAUKESHA, WI 53188
(262) 548-7930
Mailing address
W 105 BELLEVIEW AVE., OCONOMOWOC, WI 53066
(262) 443-0555
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3048-123
WI
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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