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Individual

ANNE MARIE JUMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
695 S STATE ST, ELGIN, IL 60123-7673
(331) 230-0273
Mailing address
695 S STATE ST, ELGIN, IL 60123-7673
(331) 230-0273

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1821151119
IL
Enumeration date
07/19/2021
Last updated
07/19/2021
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