Individual
TAMRA JETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
777 JOYCE RD, JOLIET, IL 60436-1876
(815) 741-7019
Mailing address
777 JOYCE RD, JOLIET, IL 60436-1876
(815) 741-7019
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362706578
—
IL
Enumeration date
06/26/2013
Last updated
06/26/2013
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