Jacqulyn Mercedes Maura

NPI #1659721686 in Island Lake, Illinois

Provider Information

NPI Number: 1659721686
Entity Type: Individual
Name: Jacqulyn Mercedes Maura
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Jun 21, 2016
Last Updated: Jun 21, 2016

Practice Location

Address: 4015 ROBERTS RD
Address 2: SUITE H
City: Island Lake
State: Illinois
ZIP Code: 60042-8506
Phone: (708) 305-0651

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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