Individual
MRS. JENNIFER ANN MAMAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
1470 RAVEN DR, BOLINGBROOK, IL 60490-4510
(630) 771-2420
Mailing address
1470 RAVEN DR, BOLINGBROOK, IL 60490-4510
(630) 771-2420
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1848773
IL
Other
Enumeration date
08/17/2017
Last updated
07/21/2022
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