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Individual

MRS. JENNIFER MARGARET MAUCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
6815 N LAKEWOOD AVE, UNIT 3-SOUTH, CHICAGO, IL 60626-3738
(773) 771-2386
(773) 262-2710
Mailing address
6815 N LAKEWOOD AVE, UNIT 3-SOUTH, CHICAGO, IL 60626-3738
(773) 771-2386
(773) 262-2710

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
IL

Other

Enumeration date
05/07/2007
Last updated
07/08/2007
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