Individual
JAZMINE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7429 S CALUMET AVE, CHICAGO, IL 60619-1820
(708) 541-0412
Mailing address
7429 S CALUMET AVE, CHICAGO, IL 60619-1820
(708) 541-0412
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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