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1174810139
MELISSA A JACOBSON
CHICAGO, IL
NPI
1174810139
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2011-06-28
Last Update Date
2011-06-28
Business Address
Ms. MELISSA A JACOBSON
2421 N RIDGEWAY AVE APT 1
CHICAGO, IL 60647-2324
Phone number: 773-953-2086
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Mailing Address
Ms. MELISSA A JACOBSON
2421 N RIDGEWAY AVE APT 1
CHICAGO, IL 60647-2324
Phone number:
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