Jennifer Brennan

NPI #1205158052 in La Grange, Illinois

Provider Information

NPI Number: 1205158052
Entity Type: Individual
Name: Jennifer Brennan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Feb 22, 2010
Last Updated: Feb 22, 2010

Practice Location

Address: 733 S LA GRANGE RD
City: La Grange
State: Illinois
ZIP Code: 60525-6726
Phone: (708) 945-4786

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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