Individual
JENNIFER NANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2615 EDWARDS ST, ALTON, IL 62002-3915
(618) 462-2331
Mailing address
2615 EDWARDS ST, ALTON, IL 62002-3915
(618) 462-2331
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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