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Individual

MS. PATRICIA D. JESSIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.C.P.C.

Contact information

Practice address
1143 S PLYMOUTH CT, #603, CHICAGO, IL 60605-2061
(312) 554-0630
Mailing address
1143 S PLYMOUTH CT, #603, CHICAGO, IL 60605-2061
(312) 554-0630

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180005430
IL

Other

Enumeration date
11/07/2012
Last updated
11/07/2012
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