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Individual

MS. JENNIFER RENEE DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1513 COUNTY RD 2300 NORTH, URBANA, IL 61802
(217) 643-7666
Mailing address
1513 COUNTY RD 2300 NORTH, URBANA, IL 61802
(217) 643-7666

Taxonomy

Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary

Other

Enumeration date
05/12/2009
Last updated
05/12/2009
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