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1174848352
MAUDETTE M JACKSON
CHICAGO, IL
NPI
1174848352
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071006174)
Enumeration Date
2010-03-31
Last Update Date
2010-03-31
Business Address
Dr. MAUDETTE M JACKSON
500 N DEARBORN ST SUITE 1012
CHICAGO, IL 60654-3300
Phone number: 312-375-5621
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Mailing Address
Dr. MAUDETTE M JACKSON
7725 S CRANDON AVE
CHICAGO, IL 60649-4118
Phone number:
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