PERSELL JEFFERSON

CHICAGO, IL
NPI1992580666
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: IL  1110-1110)
Enumeration Date2023-08-30
Last Update Date2023-08-30
Business Address
Mr. PERSELL JEFFERSON
11337 S WALLACE ST
CHICAGO, IL 60628-4729
Phone number: 773-698-3088
Mailing Address
Mr. PERSELL JEFFERSON
11337 S WALLACE ST
CHICAGO, IL 60628-4729
Phone number: 773-698-3088
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