Individual
JASMINE J ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1533 S LAWNDALE AVE, CHICAGO, IL 60623-2015
(312) 671-0519
Mailing address
1533 S LAWNDALE AVE, CHICAGO, IL 60623-2015
(312) 671-0519
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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