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Individual

JAMILLAH DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
433 W HARRISON ST STE 1104, CHICAGO, IL 60699-3916
(773) 998-7848
Mailing address
8008 S LOOMIS BLVD, CHICAGO, IL 60620-3828
(773) 998-7848

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178006542
IL
101YP2500X
Professional Counselor
Primary
180011249
IL

Other

Enumeration date
03/06/2015
Last updated
01/14/2019
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