Individual
TERRENCE TYROME JAMISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3903 INDIANAPOLIS BLVD, EAST CHICAGO, IN 46312-2555
(219) 398-7050
(219) 757-1950
Mailing address
4802 WALSH AVE APT 2, EAST CHICAGO, IN 46312-3442
(219) 397-2542
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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