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Individual

JESSICA KOLKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1120 RANDALL CT, GENEVA, IL 60134-3911
(630) 232-1070
Mailing address
1120 RANDALL CT, GENEVA, IL 60134-3911
(630) 232-1070

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1598850778
INSURANCE
IL
Enumeration date
07/07/2021
Last updated
07/08/2021
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