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Individual

JENELL STACEY DAMMAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MED

Contact information

Practice address
4003 S CALUMET AVE APT 3, CHICAGO, IL 60653-2345
(773) 307-9579
Mailing address
4003 S CALUMET AVE APT 3, CHICAGO, IL 60653-2345
(773) 307-9579

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178019702
IL

Other

Enumeration date
03/16/2026
Last updated
03/16/2026
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