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1386024511
JACLYN JORGENSEN
TRAVERSE CITY, MI
NPI
1386024511
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: MI 6401011728)
Enumeration Date
2015-06-03
Last Update Date
2016-04-20
Business Address
MS. JACLYN JORGENSEN
1105 SIXTH ST
TRAVERSE CITY, MI 49684-2349
Phone number: 231-935-6210
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Mailing Address
MS. JACLYN JORGENSEN
2513 MOMENTUM PL
CHICAGO, IL 60689-5325
Phone number: 231-935-6210
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