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Individual

DAMO ANTWINE-JELANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NCSP

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
10307188
IN
103TS0200X
School Psychologist
Primary
1185755
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1185755
IL
05
6099042
IL
05
63445
AZ
Enumeration date
10/25/2021
Last updated
03/07/2025
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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