Individual
MRS. JENNIFER MARIE MATL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3502 SUMAC DR, JOLIET, IL 60435-9018
(708) 378-5984
Mailing address
3502 SUMAC DR, JOLIET, IL 60435-9018
(708) 378-5984
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
1878441
IL
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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