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1023859881
JACOB MICHAEL STOLTENBERG
CORALVILLE, IA
NPI
1023859881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IA 125307)
Enumeration Date
2024-06-05
Last Update Date
2024-06-05
Business Address
Mr. JACOB MICHAEL STOLTENBERG LMSW
2240 9TH ST
CORALVILLE, IA 52241-1575
Phone number: 319-800-5564
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Mailing Address
Mr. JACOB MICHAEL STOLTENBERG LMSW
2240 9TH ST
CORALVILLE, IA 52241-1575
Phone number: 319-800-5564
Copy
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