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1821534199
JENNIFER MELLEN
CHICAGO, IL
NPI
1821534199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 242004305)
Enumeration Date
2017-01-11
Last Update Date
2017-01-11
Business Address
-- JENNIFER MELLEN
1252 W DIVERSEY PKWY APT 1
CHICAGO, IL 60614-1285
Phone number: 248-425-1519
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Mailing Address
-- JENNIFER MELLEN
1252 W DIVERSEY PKWY APT 1
CHICAGO, IL 60614-1285
Phone number: 248-425-1519
Copy
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