Individual
JAMIE VICTORIA WOODRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3353 S EMERALD AVE, APT. 1R, CHICAGO, IL 60616-4485
(312) 451-2802
Mailing address
3353 S EMERALD AVE, APT. 1R, CHICAGO, IL 60616-4485
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242002335
IL
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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