Individual
DR. JACQULYN LANAY ELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2200 3RD AVE, ROCK ISLAND, IL 61201-8840
(309) 779-2094
Mailing address
1510 3RD ST, EAST MOLINE, IL 61244-1302
(309) 235-5027
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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