Individual
JACQUELINE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 HOME AVE, STICKNEY, IL 60402-4316
(708) 783-4500
Mailing address
4400 HOME AVE, STICKNEY, IL 60402-4316
(708) 783-4500
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
1813573
IL
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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