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1003006842
DEBORAH LEE JACKSON
CHICAGO, IL
NPI
1003006842
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.006711)
Enumeration Date
2007-07-27
Last Update Date
2007-07-27
Business Address
Ms. DEBORAH LEE JACKSON LCSW
2820 W PETERSON AVE
CHICAGO, IL 60659-3803
Phone number: 773-293-8437
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Mailing Address
Ms. DEBORAH LEE JACKSON LCSW
2820 W. PETERSON AVE
CHICAGO, IL 60659
Phone number: 773-293-8437
Copy
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