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1003067307
LAURA JACKMAN
JOLIET, IL
NPI
1003067307
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 180.003361)
Enumeration Date
2008-10-05
Last Update Date
2008-10-05
Business Address
-- LAURA JACKMAN
1415 MAPLE RD
JOLIET, IL 60432-1442
Phone number: 815-735-0732
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Mailing Address
-- LAURA JACKMAN
604 LAMBETH LN
NEW LENOX, IL 60451-9638
Phone number:
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