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1962539635
JAY M. MOGERMAN
SPRINGFIELD, IL
NPI
1962539635
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.000786)
Enumeration Date
2007-02-28
Last Update Date
2007-07-08
Business Address
-- JAY M. MOGERMAN LCSW
2178 HUNTLEIGH RD
SPRINGFIELD, IL 62704-3272
Phone number: 217-546-3352
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Mailing Address
-- JAY M. MOGERMAN LCSW
2178 HUNTLEIGH RD
SPRINGFIELD, IL 62704-3272
Phone number: 217-546-3352
Copy
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