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1447817028
ROBERT JACKSON
ELGIN, IL
NPI
1447817028
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: 149.023004)
Enumeration Date
2019-05-20
Last Update Date
2023-11-03
Business Address
ROBERT JACKSON
73 S RIVERSIDE DR FL 3
ELGIN, IL 60120-6452
Phone number: 847-243-6458
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Mailing Address
ROBERT JACKSON
564 DOUGLAS AVE
ELGIN, IL 60120-3672
Phone number: 847-346-2236
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