JAMES KENTON MATTOX

MARION, IL
NPI1952509531
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: IL  149-002548)
Enumeration Date2007-07-05
Last Update Date2007-07-08
Business Address
MR. JAMES KENTON MATTOX LCSW
1410 W CHESTNUT ST
MARION, IL 62959-1910
Phone number: 618-997-2129
Mailing Address
MR. JAMES KENTON MATTOX LCSW
1410 W CHESTNUT ST
MARION, IL 62959-1910
Phone number: 618-997-2129
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