MARIAN A JACKSON

FAIRVIEW HEIGHTS, IL
NPI1427394485
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.015627)
Enumeration Date2012-12-19
Last Update Date2012-12-19
Business Address
-- MARIAN A JACKSON LCSW
125 N RUBY LN
FAIRVIEW HEIGHTS, IL 62208-1926
Phone number: 618-398-4226
Mailing Address
-- MARIAN A JACKSON LCSW
125 N RUBY LN
FAIRVIEW HEIGHTS, IL 62208-1926
Phone number: 618-398-4226
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