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1467695148
JANCEY LEE WICKSTROM
ORLAND PARK, IL
NPI
1467695148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149013445)
Enumeration Date
2009-04-10
Last Update Date
2011-05-26
Business Address
Ms. JANCEY LEE WICKSTROM MA, LCSW
1800 RAVINIA PL
ORLAND PARK, IL 60462-3761
Phone number: 708-403-7570
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Mailing Address
Ms. JANCEY LEE WICKSTROM MA, LCSW
1800 RAVINIA PL
ORLAND PARK, IL 60462-3761
Phone number: 708-403-7570
Copy
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