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1265014070
IVY T. JORDAN
SKOKIE, IL
NPI
1265014070
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: IL 1904908)
Enumeration Date
2021-04-22
Last Update Date
2021-04-22
Business Address
IVY T. JORDAN
9310 KENTON AVE
SKOKIE, IL 60076-1336
Phone number: 847-676-9010
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Mailing Address
IVY T. JORDAN
9310 KENTON AVE
SKOKIE, IL 60076-1336
Phone number: 312-405-3126
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