Individual
MISS JENSINE MARIE FITZGIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19120 GRANT ST, LANSING, IL 60438-4225
(708) 362-2088
Mailing address
19120 GRANT ST, LANSING, IL 60438-4225
(708) 362-2088
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.009429
IL
Other
Enumeration date
04/22/2009
Last updated
04/22/2009
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