Jay M. Mogerman, LCSW
NPI #1962539635 in Springfield, Illinois
Provider Information
- NPI Number
- 1962539635
- Entity Type
- Individual
- Name
- Jay M. Mogerman, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Feb 28, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2178 HUNTLEIGH RD
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-3272
- Phone
- (217) 546-3352
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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