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Individual

MISS JENNIFER M GRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AAS

Contact information

Practice address
726 FOREST GLEN LN, OAK BROOK, IL 60523-1538
(630) 747-8279
Mailing address
726 FOREST GLEN LANE, OAK BROOK, IL 60523
(630) 747-8279

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
217.000238
IL

Other

Enumeration date
07/02/2010
Last updated
07/02/2010
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