Individual
JESSICA GRACE SEBOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD, CLC, SBD
Contact information
Practice address
2 SILVER OAKS LN APT 5, EDWARDSVILLE, IL 62025-3770
(217) 412-7632
Mailing address
2 SILVER OAKS LN APT 5, EDWARDSVILLE, IL 62025-3770
(217) 412-7632
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2045-13
MADRIELLA DOULA CERTIFICATION
IL
Enumeration date
01/11/2018
Last updated
01/11/2018
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