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1215717996
JACOB LEONARD TOWERY
WASHINGTON, DC
NPI
1215717996
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA 3618)
Enumeration Date
2023-10-02
Last Update Date
2023-10-02
Business Address
JACOB LEONARD TOWERY
1320 GOOD HOPE RD SE
WASHINGTON, DC 20020-6912
Phone number: 202-610-1886
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Mailing Address
JACOB LEONARD TOWERY
231 CANAAN CHURCH RD
LA CROSSE, VA 23950-2108
Phone number: 434-247-0124
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