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Individual

JESSICA SAMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
4252 CORAL BERRY PATH APT 302, GURNEE, IL 60031-9318
(914) 588-8658
Mailing address
4252 CORAL BERRY PATH APT 302, GURNEE, IL 60031-9318
(914) 588-8658

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
07/24/2020
Last updated
11/27/2023
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