Individual
MR. JEREMIAH P MORAN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW LCSW
Contact information
Practice address
4824 N KEDVALE, 1ST FLOOR, CHICAGO, IL 60630
(773) 545-0372
Mailing address
4824 N KEDVALE, 1ST FLOOR, CHICAGO, IL 60630
(773) 545-0372
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
1041C0700X
Clinical Social Worker
—
IL
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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