Individual
VANESSA L OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 S. HARVARD STREET, VILLA PARK, IL 60181
(630) 516-7641
Mailing address
255 S. HARVARD STREET, VILLA PARK, IL 60181
(630) 516-7641
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
735646
IL
Other
Enumeration date
09/12/2017
Last updated
03/17/2018
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