JACOB M LIBSTER

KENOSHA, WI
NPI1316141278
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-06-13
Last Update Date2007-07-08
Business Address
-- JACOB M LIBSTER BSW
5407 8TH AVE
KENOSHA, WI 53140-3715
Phone number: 262-564-0067
Mailing Address
-- JACOB M LIBSTER BSW
848 STATE ROAD 60
CEDARBURG, WI 53012-9216
Phone number: 262-375-6794
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