Individual
JACQUELINE R SPRAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23819 W MILL ST, PLAINFIELD, IL 60544-3457
(630) 640-8297
Mailing address
2259 S 14TH AVE, NORTH RIVERSIDE, IL 60546-1069
(630) 640-8297
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178016350
IL
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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