JEROME CLARK

WAUKEGAN, IL
NPI1013465145
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-09-19
Last Update Date2016-09-19
Business Address
-- JEROME CLARK
671 S LEWIS AVE
WAUKEGAN, IL 60085-6101
Phone number: 847-782-4000
Mailing Address
-- JEROME CLARK
671 S LEWIS AVE
WAUKEGAN, IL 60085-6101
Phone number:
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