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Mrs. Jacquelyn Lavette Allen, MOTR/L,CPAM
Specialist in South Holland, Illinois
NPI 1629300942

Jacquelyn Lavette Allen is a Specialist based in South Holland, IL. Jacquelyn Lavette Allen practices in South Holland, IL and has the professional credentials of MOTR/L,CPAM. The NPI Number for Jacquelyn Lavette Allen is 1629300942 and holds a License No. 056007568 (Illinois).

The current practice location address for Jacquelyn Lavette Allen is 17366 Wausau Ave, South Holland, IL and can be reached out via phone at 708-705-2670. You can also correspond with Jacquelyn Lavette Allen through the mailing address at 17366 WAUSAU AVE, SOUTH HOLLAND, IL - 60473-3359 (mailing address contact number: 708-705-2670).

Location: 17366 Wausau Ave, South Holland, IL, 60473-3359
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629300942
Provider Name
Jacquelyn Lavette Allen
Credential
MOTR/L,CPAM
Provider Entity Type
Individual
Gender
Female
Address
17366 Wausau Ave, South Holland, IL, 60473-3359
Phone Number
708-705-2670
Fax Number
Provider Enumeration Date
02/11/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17366 Wausau Ave
City
South Holland
State
Illinois
Zip
60473-3359
Phone Number
708-705-2670
Fax Number
person
Provider Business Mailing Address Details
Address
17366 Wausau Ave
City
South Holland
State
Illinois
Zip
60473-3359
Phone Number
708-705-2670
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
056007568 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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