Individual
MRS. JENNIFER FESSETT GUSENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS-CCC/SLP
Contact information
Practice address
5715 S FRANKLIN AVE, LA GRANGE HIGHLANDS, IL 60525-3712
(708) 505-4221
Mailing address
5715 S FRANKLIN AVE, LA GRANGE HIGHLANDS, IL 60525-3712
(708) 505-4221
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.005493
IL
Other
Enumeration date
03/16/2010
Last updated
03/16/2010
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