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1740348861
JEREMY M. PITZER
MATTOON, IL
NPI
1740348861
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.011326)
Enumeration Date
2006-12-04
Last Update Date
2009-03-19
Business Address
Mr. JEREMY M. PITZER LCSW
750 BROADWAY AVE E
MATTOON, IL 61938-4610
Phone number: 217-238-5700
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Mailing Address
Mr. JEREMY M. PITZER LCSW
750 BROADWAY AVE E
MATTOON, IL 61938-4610
Phone number: 217-238-5700
Copy
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