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Individual

ELIZABETH JENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
X

Contact information

Practice address
3002 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8255
Mailing address
2002 W FOSTER AVE APT 2, CHICAGO, IL 60625-7662
(812) 325-9087

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
104100000X
Social Worker

Other

Enumeration date
07/29/2024
Last updated
07/29/2024
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