JACOB P REGISTER

BLOOMINGTON, IL
NPI1174279244
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149023795)
Enumeration Date2022-02-26
Last Update Date2022-02-26
Business Address
JACOB P REGISTER LCSW
808 S ELDORADO RD STE 102
BLOOMINGTON, IL 61704-6075
Phone number: 309-706-3190
Mailing Address
JACOB P REGISTER LCSW
1603 N LINDEN ST
NORMAL, IL 61761-1474
Phone number:
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