JUANITA BLACKMON

CHICAGO, IL
NPI1033764485
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2019-08-02
Last Update Date2019-08-02
Business Address
JUANITA BLACKMON MS
5904 S KEDZIE AVE APT 303
CHICAGO, IL 60629-3216
Phone number: 312-342-9118
Mailing Address
JUANITA BLACKMON MS
5904 S KEDZIE AVE APT 303
CHICAGO, IL 60629-3216
Phone number: 312-342-9118
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