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Individual

PETER ERIQ JAFFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5101 WASHINGTON ST STE 2F, GURNEE, IL 60031-2986
(847) 367-5991
Mailing address
5101 WASHINGTON ST STE 2F, GURNEE, IL 60031-2986

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
09/04/2024
Last updated
09/04/2024
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