Search › Illinois › 1041C0700X
Michael Terry, LCSW, LISW
NPI 1891331872 · on the registry since 2019
Practice
- Address
- 524 15th St
Moline, IL 61265 - Phone
- (309) 736-7170
- Fax
- (309) 736-7150
- Organisation at this address
- Everychild
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- IA, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-11-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois