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Individual

MRS. JULIA LORENA FARMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1803 7TH STREET, MOLINE, IL 61265
(309) 277-0167
(309) 277-0163
Mailing address
1803 7TH STREET, MOLINE, IL 61265
(309) 277-0167
(309) 277-0163

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
149004740
IL

Other

Enumeration date
01/19/2012
Last updated
01/19/2012
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