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Individual

MRS. KRISTINA LYNN JERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4109 67TH ST, KENOSHA, WI 53142-3836
(262) 652-9830
Mailing address
7880 GENEVA DR, GURNEE, IL 60031-5152
(949) 677-3790

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4617-226
WI

Other

Enumeration date
04/27/2020
Last updated
04/27/2020
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