Individual
MS. JENNIFER A STAJDUHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHP
Contact information
Practice address
205 S 24TH ST, QUINCY, IL 62301-4492
(217) 222-0034
(217) 222-3865
Mailing address
205 S 24TH ST, QUINCY, IL 62301-4492
(217) 222-0034
(217) 222-3865
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IL
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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