Individual
MRS. HOLLY LORAYNE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
940 MAPLE RD, HOMEWOOD, IL 60430-2061
(708) 799-0244
Mailing address
940 MAPLE RD, HOMEWOOD, IL 60430-2061
(708) 799-0244
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146006862
IL
Other
Enumeration date
03/04/2010
Last updated
03/04/2010
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