Individual
MS. JENNIFER JOY BACANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2650 W BELDEN AVE, APT 111, CHICAGO, IL 60647-3039
(248) 514-4870
Mailing address
2650 W BELDEN AVE, APT 111, CHICAGO, IL 60647-3039
(248) 514-4870
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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