JACKIE LOU ANDERSON

MACHESNEY PARK, IL
NPI1295004406
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2011-12-16
Last Update Date2011-12-16
Business Address
Mrs. JACKIE LOU ANDERSON
101 SHORELAND RD
MACHESNEY PARK, IL 61115-2833
Phone number: 815-633-1173
Mailing Address
Mrs. JACKIE LOU ANDERSON
101 SHORELAND RD
MACHESNEY PARK, IL 61115-2833
Phone number: 815-633-1173
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