Individual
COLIN ERIC JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6918 WINDSOR AVE, BERWYN, IL 60402-3334
(708) 795-4800
Mailing address
6918 WINDSOR AVE, BERWYN, IL 60402-3334
(708) 795-4800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/12/2007
Last updated
09/12/2007
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