Individual
ANDREW DEJONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SSP
Contact information
Practice address
1801 E LINCOLN HWY, NEW LENOX, IL 60451-3801
(815) 717-3601
Mailing address
1801 E LINCOLN HWY, NEW LENOX, IL 60451-3801
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2353028
IL
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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