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Organization
JEN MATL DT THATS ME CORP.
Active
Organization
JEN MATL DT THATS ME CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MARIE MATL (OWNER)
(708) 378-5984
Entity
Organization
Contact information
Practice address
3502 SUMAC DR, JOLIET, IL 60435-9018
(708) 378-5984
(708) 286-7028
Mailing address
3502 SUMAC DR, JOLIET, IL 60435-9018
(708) 378-5984
(708) 286-7028
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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