ANGELA L JACKSON

URBANA, IL
NPI1144597899
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: IL  149013402)
Enumeration Date2011-11-23
Last Update Date2021-03-15
Business Address
ANGELA L JACKSON LCSW
404 W GREEN ST
URBANA, IL 61801-3267
Phone number: 217-706-5498
Mailing Address
ANGELA L JACKSON LCSW
404 W GREEN ST
URBANA, IL 61801-3267
Phone number: 217-398-9066
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