Individual
MS. JENNIFER DAWN JAMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
304 E OTTAWA RD, PAXTON, IL 60957-1646
(217) 419-0817
Mailing address
304 E OTTAWA RD, PAXTON, IL 60957-1646
(217) 419-0817
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
03/24/2010
Last updated
03/24/2010
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