| NPI | 1871586214 |
|---|---|
| Professional Name | JESSE LEE OWENS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-007440) |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2017-10-10 |