CLINTON J MCCOY

CHICAGO, IL
NPI1861242844
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-03-25
Last Update Date2024-03-25
Business Address
CLINTON J MCCOY
10644 S FOREST AVE
CHICAGO, IL 60628-2845
Phone number: 708-864-1666
Mailing Address
CLINTON J MCCOY
10644 S FOREST AVE
CHICAGO, IL 60628-2845
Phone number:
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