Individual
JENNIFER ANN GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 COUR LEROUX, PALOS HILLS, IL 60465-2407
(708) 655-1295
Mailing address
6 COUR LEROUX, PALOS HILLS, IL 60465-2407
(708) 655-1295
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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