MR. William R Tennill, LCSW

NPI #1154339349 in Jacksonville, Illinois

Provider Information

NPI Number: 1154339349
Entity Type: Individual
Name: MR. William R Tennill, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Aug 3, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 557 N WESTGATE AVE
City: Jacksonville
State: Illinois
ZIP Code: 62650-1156
Phone: (217) 245-7275

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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