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1447880513
JULIA JORDAN-LAKE
FOREST PARK, IL
NPI
1447880513
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 178.015637)
Enumeration Date
2020-01-17
Last Update Date
2020-01-20
Business Address
JULIA JORDAN-LAKE
7421 MADISON ST
FOREST PARK, IL 60130-1575
Phone number: 615-975-2774
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Mailing Address
JULIA JORDAN-LAKE
506 N CUYLER AVE APT 2R
OAK PARK, IL 60302-2378
Phone number: 615-975-2774
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