Individual
CASEY JENNIFER TRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6298 SCHAUMBURG LN, ROSCOE, IL 61073-9250
(815) 519-7117
Mailing address
6298 SCHAUMBURG LN, ROSCOE, IL 61073-9250
(815) 519-7117
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178017968
IL
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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