JANE ELLEN SAMUELSON

CHICAGO, IL
NPI1346468394
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: IL  071003172)
Enumeration Date2007-04-23
Last Update Date2007-07-08
Business Address
Dr. JANE ELLEN SAMUELSON Ph. D.
111 N WABASH AVE SUITE 1704
CHICAGO, IL 60602-1903
Phone number: 708-524-1267
Mailing Address
Dr. JANE ELLEN SAMUELSON Ph. D.
208 S MAPLE AVE APT. 19
OAK PARK, IL 60302-3028
Phone number: 708-524-1267
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