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1811521651
JACOB LIVERMORE
IOWA CITY, IA
NPI
1811521651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-03-02
Last Update Date
2020-03-02
Business Address
JACOB LIVERMORE BA, tCADC
430 SOUTHGATE AVE
IOWA CITY, IA 52240-4425
Phone number: 319-351-4357
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Mailing Address
JACOB LIVERMORE BA, tCADC
430 SOUTHGATE AVE
IOWA CITY, IA 52240-4425
Phone number: 319-351-4357
Copy
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