Individual
JESSICA DALE HOLLINGSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1437 S PLYMOUTH CT, UNIT H, CHICAGO, IL 60605-2853
(312) 882-4168
Mailing address
1437 S PLYMOUTH CT, UNIT H, CHICAGO, IL 60605-2853
(312) 882-4168
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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