Individual
MS. JENNA KOPF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1020 W ARDMORE AVE APT 2C, CHICAGO, IL 60660-3717
(717) 598-3356
Mailing address
1020 W ARDMORE AVE APT 2C, CHICAGO, IL 60660-3717
(717) 598-3356
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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