Individual
JENNIFER LYNN GEORGESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
2530 RIDGE AVE, EVANSTON, IL 60201-2492
(866) 815-6592
Mailing address
950 LEE ST STE 210, DES PLAINES, IL 60016-6574
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146014998
IL
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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