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1255666707
JENNA LYNN FASH
BOLINGBROOK, IL
NPI
1255666707
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: IL 178006305)
Enumeration Date
2009-10-15
Last Update Date
2022-07-21
Business Address
JENNA LYNN FASH LCPC
684 W BOUGHTON RD STE 106
BOLINGBROOK, IL 60440-1781
Phone number: 630-410-9578
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Mailing Address
JENNA LYNN FASH LCPC
684 W BOUGHTON RD STE 106
BOLINGBROOK, IL 60440-1781
Phone number: 630-410-9578
Copy
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