Individual
JENNIFER SUCECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18808 MEADOWVIEW DR, MOKENA, IL 60448-9107
(708) 704-9319
Mailing address
18808 MEADOWVIEW DR, MOKENA, IL 60448-9107
(708) 704-9319
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/27/2019
Last updated
01/27/2019
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