CLINTON TROY MERRITT

MOLINE, IL
NPI1063090264
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  178.016552)
Enumeration Date2021-03-30
Last Update Date2021-03-30
Business Address
CLINTON TROY MERRITT
4600 3RD ST
MOLINE, IL 61265-6106
Phone number: 708-305-4041
Mailing Address
CLINTON TROY MERRITT
605 E 6TH ST
COAL VALLEY, IL 61240-9522
Phone number: 708-305-4041