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Individual

MRS. JENNIFER L. KLECKNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, IBCLC

Contact information

Practice address
941 KELLY LN, SYCAMORE, IL 60178-9509
(815) 343-3623
Mailing address
941 KELLY LN, SYCAMORE, IL 60178-9509
(815) 343-3623

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
041351296
IL
174N00000X
Lactation Consultant (Non-RN)

Other

Enumeration date
04/10/2023
Last updated
04/10/2023
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