Individual
JENNIFER WALSH STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1922 W GEORGE ST, CHICAGO, IL 60657-4022
(773) 330-5137
Mailing address
1922 W GEORGE ST, CHICAGO, IL 60657-4022
(773) 330-5137
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.007475
IL
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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