SearchIllinois1041C0700X

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