JACOB LORENZ

VIENNA, IL
NPI1164046447
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-06-03
Last Update Date2020-06-03
Business Address
JACOB LORENZ BA, MHP
101 OLIVER ST
VIENNA, IL 62995-1660
Phone number: 618-658-2611
Mailing Address
JACOB LORENZ BA, MHP
101 OLIVER ST
VIENNA, IL 62995-1660
Phone number: 618-658-2611
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