MATTHEW SEVERING

DIXON, IL
NPI1942665245
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2015-12-31
Last Update Date2015-12-31
Business Address
-- MATTHEW SEVERING
325 IL ROUTE 2
DIXON, IL 61021
Phone number: 815-284-6611
Mailing Address
-- MATTHEW SEVERING
325 IL ROUTE 2
DIXON, IL 61021-9118
Phone number: 815-284-6611
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