JARRED BRECK MAUCK

QUINCY, IL
NPI1912001546
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2006-09-12
Last Update Date2007-07-08
Business Address
-- JARRED BRECK MAUCK BA,MHP
4409 MAINE ST
QUINCY, IL 62305-5849
Phone number: 217-223-0423
Mailing Address
-- JARRED BRECK MAUCK BA,MHP
2119 1/2 HAMPSHIRE ST
QUINCY, IL 62301-3149
Phone number: 217-223-0413