Individual
MRS. JAMIE CONOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
230 SHORT ST, MINONK, IL 61760-1526
(815) 739-2831
Mailing address
230 SHORT ST, MINONK, IL 61760-1526
(815) 739-2831
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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