JAY JACKSON SWANSON

ROCKFORD, IL
NPI1225643174
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  178017319)
Enumeration Date2020-09-08
Last Update Date2023-05-30
Business Address
Mr. JAY JACKSON SWANSON
6072 BRYNWOOD DR STE 205
ROCKFORD, IL 61114-5829
Phone number: 815-846-0684
Mailing Address
Mr. JAY JACKSON SWANSON
4432 GLENMORE RD
ROCKTON, IL 61072-3234
Phone number: 815-721-0189