Individual
JAMIE MICHELE BARRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
630 N STATE ST, #1108, CHICAGO, IL 60654-7574
(847) 924-7315
Mailing address
630 N STATE ST, #1108, CHICAGO, IL 60654-7574
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
B65043385817
IL
Other
Enumeration date
02/26/2011
Last updated
02/26/2011
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