MICHAEL JOHN LEGAN

PEORIA, IL
NPI1992773782
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: IL  180002319)
Enumeration Date2006-03-09
Last Update Date2007-07-08
Business Address
Mr. MICHAEL JOHN LEGAN MS LCPC
5409 N KNOXVILLE
PEORIA, IL 61614
Phone number: 309-691-0420
Mailing Address
Mr. MICHAEL JOHN LEGAN MS LCPC
5409 N KNOXVILLE
PEORIA, IL 61614
Phone number: 309-691-0420