Individual
JAIMIE V SENESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5404 W ELM ST, MCHENRY, IL 60050-4052
(815) 331-8768
Mailing address
1512 POPLAR ST, HOLIDAY HILLS, IL 60051-9236
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.012032
IL
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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