JEFFREY MARTIN

ROCKFORD, IL
NPI1710145743
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  149003373)
Enumeration Date2008-05-27
Last Update Date2008-05-27
Business Address
Mr. JEFFREY MARTIN lcsw
5804 ELAINE DR
ROCKFORD, IL 61108-2435
Phone number: 815-397-7654
Mailing Address
Mr. JEFFREY MARTIN lcsw
5804 ELAINE DR
ROCKFORD, IL 61108-2435
Phone number: 815-397-7654
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