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Individual

JAYMIE ANTWANETTE MEREDITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1001 ROHLWING RD, ELK GROVE VILLAGE, IL 60007-3217
(773) 636-9963
Mailing address
11438 S ELIZABETH ST, CHICAGO, IL 60643-4455
(773) 636-9963

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178016396
IL

Other

Enumeration date
11/10/2020
Last updated
11/10/2020
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