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1376605881
JON DAVIS
CHAMPAIGN, IL
NPI
1376605881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149009459)
Enumeration Date
2006-12-14
Last Update Date
2007-07-08
Business Address
Mr. JON DAVIS MSW, LCSW
202 W PARK AVE
CHAMPAIGN, IL 61820-3929
Phone number: 217-373-2430
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Mailing Address
Mr. JON DAVIS MSW, LCSW
202 W PARK AVE
CHAMPAIGN, IL 61820-3929
Phone number:
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