JASON OWEN GREENLY

CHAMPAIGN, IL
NPI1710171699
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
Enumeration Date2007-09-04
Last Update Date2024-08-21
Business Address
Mr. JASON OWEN GREENLY BA, MHP
70 E WASHINGTON ST
CHAMPAIGN, IL 61820-3652
Phone number: 217-398-7785
Mailing Address
Mr. JASON OWEN GREENLY BA, MHP
1510 W WHITE ST
CHAMPAIGN, IL 61821-3114
Phone number: 217-355-7622
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