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1023170099
JEROME MICHAEL LOBERG
WAUKESHA, WI
NPI
1023170099
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 3048-123)
Enumeration Date
2006-12-15
Last Update Date
2007-07-08
Business Address
Mr. JEROME MICHAEL LOBERG M.S.W.
1501 AIRPORT RD.
WAUKESHA, WI 53188
Phone number: 262-548-7930
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Mailing Address
Mr. JEROME MICHAEL LOBERG M.S.W.
W 105 BELLEVIEW AVE.
OCONOMOWOC, WI 53066
Phone number: 262-443-0555
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