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1952509531
JAMES KENTON MATTOX
MARION, IL
NPI
1952509531
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149-002548)
Enumeration Date
2007-07-05
Last Update Date
2007-07-08
Business Address
Mr. JAMES KENTON MATTOX LCSW
1410 W CHESTNUT ST
MARION, IL 62959-1910
Phone number: 618-997-2129
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Mailing Address
Mr. JAMES KENTON MATTOX LCSW
1410 W CHESTNUT ST
MARION, IL 62959-1910
Phone number: 618-997-2129
Copy
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