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1487128112
JAIME REBEKAH LONG
PARK RIDGE, IL
NPI
1487128112
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: IL 1122109)
Enumeration Date
2019-01-16
Last Update Date
2019-01-16
Business Address
JAIME REBEKAH LONG
1001 S FAIRVIEW AVE
PARK RIDGE, IL 60068-4712
Phone number: 847-653-3649
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Mailing Address
JAIME REBEKAH LONG
1001 S FAIRVIEW AVE
PARK RIDGE, IL 60068-4712
Phone number: 847-653-3649
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