Individual
GARY L LEMMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
904 E MAIN ST, NORRIS CITY, IL 62869-1118
(618) 378-3010
(618) 378-2308
Mailing address
393 CO. RD. 835 N, NORRIS CITY, IL 62869
(618) 378-3805
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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