CARLY JENSEN

NEW LENOX, IL
NPI1295008167
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy222Q00000X Developmental Therapist
(Licence: IL  2381813)
Enumeration Date2012-02-22
Last Update Date2012-11-19
Business Address
Miss CARLY JENSEN
174 HAINES AVENUE
NEW LENOX, IL 60451-1602
Phone number: 815-603-8414
Mailing Address
Miss CARLY JENSEN
174 HAINES AVE
NEW LENOX, IL 60451-1602
Phone number: 815-603-8414
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