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1164080693
JACKSON THERAPY
URBANA, IL
NPI
1164080693
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Entity Type
Organization
Authorized Contact
ANGELA JACKSON
Owner/Lead Therapist
217-840-4090
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2019-05-30
Last Update Date
2023-03-30
Business Address
JACKSON THERAPY
404 W GREEN ST
URBANA, IL 61801-3267
Phone number: 217-706-5498
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Mailing Address
JACKSON THERAPY
230 W MAIN ST
DECATUR, IL 62523-1215
Phone number: 217-706-5498
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