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1174058556
JENNIFER N ORTIZ
WAUKEGAN, IL
NPI
1174058556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-04-24
Last Update Date
2017-04-24
Business Address
-- JENNIFER N ORTIZ
3002 GRAND AVE
WAUKEGAN, IL 60085-2321
Phone number: 847-377-8190
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Mailing Address
-- JENNIFER N ORTIZ
3002 GRAND AVE
WAUKEGAN, IL 60085-2321
Phone number: 847-377-8190
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