JACOB LIVERMORE

IOWA CITY, IA
NPI1811521651
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2020-03-02
Last Update Date2020-03-02
Business Address
JACOB LIVERMORE BA, TCADC
430 SOUTHGATE AVE
IOWA CITY, IA 52240-4425
Phone number: 319-351-4357
Mailing Address
JACOB LIVERMORE BA, TCADC
430 SOUTHGATE AVE
IOWA CITY, IA 52240-4425
Phone number: 319-351-4357
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