Individual
JENNINE BLOCKER-LAMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6540 N ASHLAND AVE APT 3W, CHICAGO, IL 60626-4935
(312) 343-2622
Mailing address
6540 N ASHLAND AVE APT 3W, CHICAGO, IL 60626-4935
(312) 343-2622
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
03/20/2020
Last updated
03/20/2020
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