MICHAEL R JAY

FREEPORT, IL
NPI1801003462
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  180006192)
Enumeration Date2007-05-16
Last Update Date2008-05-27
Business Address
-- MICHAEL R JAY LCPC
421 W EXCHANGE ST
FREEPORT, IL 61032-4030
Phone number: 815-599-7300
Mailing Address
-- MICHAEL R JAY LCPC
421 W EXCHANGE ST PO BOX 813
FREEPORT, IL 61032-4030
Phone number: 815-599-7372
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