JACKIE E SKINNER

BROADVIEW, IL
NPI1104104983
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-07-28
Last Update Date2011-07-28
Business Address
Mrs. JACKIE E SKINNER BA
1820 S 25TH AVE
BROADVIEW, IL 60155-2864
Phone number: 708-338-3806
Mailing Address
Mrs. JACKIE E SKINNER BA
1820 S 25TH AVE
BROADVIEW, IL 60155-2864
Phone number: 708-338-3806