MILES MACGREGOR GLENN

DIXON, IL
NPI1194364315
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-01-06
Last Update Date2020-01-06
Business Address
MILES MACGREGOR GLENN
325 IL ROUTE 2
DIXON, IL 61021-9118
Phone number: 815-284-6611
Mailing Address
MILES MACGREGOR GLENN
322 DEPOT AVE
DIXON, IL 61021-2850
Phone number: