Individual
JESSICA CAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 W HAWTHORN DR, ITASCA, IL 60143-2056
(800) 844-1232
Mailing address
901 W HAWTHORN DR, ITASCA, IL 60143-2056
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-06-2829
IL
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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