JERRY DAVIS-EL

CHICAGO, IL
NPI1841796992
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL  29962)
Enumeration Date2018-04-05
Last Update Date2018-04-05
Business Address
Mr. JERRY DAVIS-EL CADC
33 E 114TH ST
CHICAGO, IL 60628-4921
Phone number: 773-660-4630
Mailing Address
Mr. JERRY DAVIS-EL CADC
222 S JEFFERSON ST
CHICAGO, IL 60661-5603
Phone number: 312-441-9009
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