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Individual

JENNIE THOLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
973 N 6TH ST, MASCOUTAH, IL 62258-1154
(618) 301-6760
Mailing address
201 W PEEPLES ST, SUMMERFIELD, IL 62289-1061
(618) 301-6760

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.116010
IL

Other

Enumeration date
02/04/2026
Last updated
02/04/2026
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