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1144597899
ANGELA L JACKSON
URBANA, IL
NPI
1144597899
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149013402)
Enumeration Date
2011-11-23
Last Update Date
2021-03-15
Business Address
ANGELA L JACKSON LCSW
404 W GREEN ST
URBANA, IL 61801-3267
Phone number: 217-706-5498
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Mailing Address
ANGELA L JACKSON LCSW
404 W GREEN ST
URBANA, IL 61801-3267
Phone number: 217-398-9066
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