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1114259207
JASON MATTHEW VAN SICKLE
MARION, IL
NPI
1114259207
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149-019731)
Enumeration Date
2010-02-01
Last Update Date
2021-04-29
Business Address
Mr. JASON MATTHEW VAN SICKLE LCSW, MSCS, COR
2401 W MAIN ST
MARION, IL 62959-1188
Phone number: 618-997-5311
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Mailing Address
Mr. JASON MATTHEW VAN SICKLE LCSW, MSCS, COR
2401 W MAIN ST
MARION, IL 62959-1188
Phone number: 618-997-5311
Copy
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