Individual
ASHLEY JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4610 N LOWELL AVE, CHICAGO, IL 60630-4016
(773) 682-0812
Mailing address
4610 N LOWELL AVE, CHICAGO, IL 60630-4016
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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