Individual
MRS. JENNIFER LILIANI WHITESIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
45 S PARK BLVD, STE 255, GLEN ELLYN, IL 60137-6280
(630) 942-8803
Mailing address
1597 S MOORLAND RD, #104, NEW BERLIN, WI 53151-1583
(407) 301-9031
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
WI
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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