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Individual

JACOB MATHEW MOHR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
325 IL ROUTE 2, DIXON, IL 61021-9118
(815) 284-6611
Mailing address
616 W 12TH ST, STERLING, IL 61081-2208
(815) 441-9003

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
09/06/2019
Last updated
09/06/2019
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