Individual
JUAMONA CAROL SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
162 HOLIDAY LN, HAINESVILLE, IL 60073-3187
(815) 793-9132
(847) 984-5727
Mailing address
162 HOLIDAY LN, HAINESVILLE, IL 60073-3187
(815) 793-9132
(847) 984-5727
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
05/12/2010
Last updated
05/21/2010
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