Individual
JILLIAN SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
455 HUNTLEY RD, CRYSTAL LAKE, IL 60014-5318
(815) 893-6234
Mailing address
455 HUNTLEY RD, CRYSTAL LAKE, IL 60014-5318
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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