Individual
JAZMINE WOODALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2923 N MILWAUKEE AVE, CHICAGO, IL 60618-7886
(800) 206-8136
Mailing address
130 W 113TH PL, CHICAGO, IL 60628-4813
(773) 387-2021
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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