JERRY LOWELL

WHEATON, IL
NPI1356477467
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149-003408)
Enumeration Date2007-02-25
Last Update Date2007-07-08
Business Address
-- JERRY LOWELL LCSW
210 N MAIN ST
WHEATON, IL 60187-5358
Phone number: 630-707-7380
Mailing Address
-- JERRY LOWELL LCSW
415 S PRESIDENT ST
WHEATON, IL 60187-5739
Phone number: 630-707-7380
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