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Organization

JENNIFER S LONOSKY PSYD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JENNIFER S LONOSKY PSYD (SOLE PROPRIETOR)
(847) 362-5601
Entity
Organization

Contact information

Practice address
1105 W PARK AVE, SUITE 2, LIBERTYVILLE, IL 60048-2567
(847) 362-5601
(847) 362-5611
Mailing address
1105 W PARK AVE, SUITE 2, LIBERTYVILLE, IL 60048-2567
(847) 362-5601
(847) 362-5611

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-006522
IL

Other

Enumeration date
11/20/2012
Last updated
11/20/2012
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