Individual
JILL USHERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 SCOTT CT, MOUNT PULASKI, IL 62548-1050
(847) 306-9843
Mailing address
105 SCOTT CT, MOUNT PULASKI, IL 62548-1050
(217) 871-0545
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/14/2019
Last updated
09/14/2019
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