JESSICA DIETER

CHICAGO, IL
NPI1710546445
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  14194079)
Enumeration Date2019-06-06
Last Update Date2019-06-06
Business Address
JESSICA DIETER
1422 W WILLOW ST
CHICAGO, IL 60642-8978
Phone number: 312-399-0370
Mailing Address
JESSICA DIETER
1422 W WILLOW ST
CHICAGO, IL 60642-8978
Phone number:
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