Individual
JENNIFER LYNN LADNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
118 LAKESIDE DR APT 417, ST CHARLES, IL 60174-7908
(630) 674-5366
Mailing address
118 LAKESIDE DR APT 417, ST CHARLES, IL 60174-7908
(630) 674-5366
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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