JASON MATTHEW VAN SICKLE

MARION, IL
NPI1114259207
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: IL  149-019731)
Enumeration Date2010-02-01
Last Update Date2021-04-29
Business Address
MR. JASON MATTHEW VAN SICKLE LCSW, MSCS, COR
2401 W MAIN ST
MARION, IL 62959-1188
Phone number: 618-997-5311
Mailing Address
MR. JASON MATTHEW VAN SICKLE LCSW, MSCS, COR
2401 W MAIN ST
MARION, IL 62959-1188
Phone number: 618-997-5311
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