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Organization
J & J MAUPIN ENTERPRISES INC.
Active
Organization
J & J MAUPIN ENTERPRISES INC.
Active
Other names
J & J Maupin Enterprises Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY RAY MAUPIN (PRESIDENT)
(217) 422-6361
Entity
Organization
Contact information
Practice address
5310 E WILLIAM STREET RD, DECATUR, IL 62521-1874
(217) 422-6361
(217) 422-6365
Mailing address
5310 E WILLIAM STREET RD, DECATUR, IL 62521-1874
(217) 422-6361
(217) 422-6365
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.016196
IL
Other
Enumeration date
12/04/2015
Last updated
12/04/2015
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