Michael Anton Terry, LCSW, LISW

NPI #1891331872 in Moline, Illinois

Provider Information

NPI Number: 1891331872
Entity Type: Individual
Name: Michael Anton Terry, LCSW, LISW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW, LISW
Enumeration Date: Nov 25, 2019
Last Updated: Nov 25, 2019

Practice Location

Address: 524 15TH ST
City: Moline
State: Illinois
ZIP Code: 61265-2151
Phone: (309) 736-7170

Specialties & Taxonomy Codes

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

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