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1275599367
THERESA JACKSON
OAK PARK, IL
NPI
1275599367
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: IL 150.006805)
Enumeration Date
2006-04-26
Last Update Date
2007-07-08
Business Address
Miss THERESA JACKSON MSW, LSW
715 LAKE ST
OAK PARK, IL 60301-1422
Phone number: 708-386-8145
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Mailing Address
Miss THERESA JACKSON MSW, LSW
239 N HILLSIDE AVE
HILLSIDE, IL 60162-1512
Phone number: 708-449-3242
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