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JEREMIAH L JUSTICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MHP

Contact information

Practice address
101 S JEFFERSON ST, WOODSTOCK, IL 60098-3437
(815) 338-7560
Mailing address
1163 GREENWOOD CIR, WOODSTOCK, IL 60098-2985

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
06/10/2013
Last updated
06/10/2013
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