DAMO ANTWINE-JELANI

GARY, IN
NPI1225792427
Professional NameDAMIEN ANTWINE
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TS0200X Psychologist School
(Licence: IL  1185755)
Additional Taxonomies103TS0200X Psychologist School
(Licence: IN  10307188)
Enumeration Date2021-10-25
Last Update Date2025-03-07
Business Address
DAMO ANTWINE-JELANI NCSP
2650 W 35TH AVE
GARY, IN 46408-1416
Phone number: 630-864-0704
Mailing Address
DAMO ANTWINE-JELANI NCSP
429 N WEBER RD STE B-274
ROMEOVILLE, IL 60446-3902
Phone number: 630-864-0704