Individual
JENNIFER CORINA DIRZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8050
Mailing address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8050
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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