EUGENE JASON MASK

HINES, IL
NPI1407865462
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149004019)
Enumeration Date2006-08-07
Last Update Date2007-07-08
Business Address
Mr. EUGENE JASON MASK M.S.W.
5TH AVE. AND ROOSEVELT RD
HINES, IL 60141-5128
Phone number: 708-202-2058
Mailing Address
Mr. EUGENE JASON MASK M.S.W.
5TH AVE. AND ROOSEVELT RD
HINES, IL 60141-5128
Phone number: 708-202-2058
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