Individual
MRS. ELAYNE JARVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DEVELOPMENTAL THERAP
Contact information
Practice address
1799 KINGS GATE LANE, CRYSTAL LAKE, IL 60014
(815) 276-7786
(815) 788-1321
Mailing address
1799 KINGS GATE LANE, CRYSTAL LAKE, IL 60014
(815) 276-7786
(815) 788-1321
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
IL
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/01/2009
Last updated
09/01/2011
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