Individual
JEREMY BYRON CLORFENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
565 LAKEVIEW PKWY, SUITE 102, VERNON HILLS, IL 60061-1857
(847) 438-1779
Mailing address
565 LAKEVIEW PKWY, SUITE 102, VERNON HILLS, IL 60061-1857
(847) 438-1779
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-006349
IL
Other
Enumeration date
09/06/2006
Last updated
03/20/2014
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