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Individual

MRS. JENNIFER M. HALVORSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.ED, L.M.T

Contact information

Practice address
700 N LAKE ST, #102, MUNDELEIN, IL 60060-1357
(847) 949-0063
(847) 949-2663
Mailing address
19360 W PROSPECT DR, MUNDELEIN, IL 60060-5207

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.000975
IL

Other

Enumeration date
07/29/2014
Last updated
02/11/2017
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