EVAN JAMES GRADY

DIXON, IL
NPI1609416049
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-01-14
Last Update Date2020-01-14
Business Address
EVAN JAMES GRADY MHP, BS
325 IL ROUTE 2
DIXON, IL 61021-9118
Phone number: 815-284-6611
Mailing Address
EVAN JAMES GRADY MHP, BS
325 IL ROUTE 2
DIXON, IL 61021-9118
Phone number: 815-284-6611