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Individual

JADE THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CD(DONA), CLS

Contact information

Practice address
503 S COUNTRY FAIR DR STE 2A, CHAMPAIGN, IL 61821-3637
(217) 675-7019
Mailing address
1209 E SOUTH ST, CLINTON, IL 61727-2336
(217) 853-1136

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
IL
374J00000X
Doula
Primary
IL

Other

Enumeration date
04/23/2025
Last updated
04/23/2025
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