AUTUMN KAMINEH BADGER JACKSON

DANVILLE, IL
NPI1497504070
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  150111308)
Enumeration Date2024-05-15
Last Update Date2024-05-15
Business Address
Mrs. AUTUMN KAMINEH BADGER JACKSON
1900 E MAIN ST
DANVILLE, IL 61832-5100
Phone number: 217-554-4074
Mailing Address
Mrs. AUTUMN KAMINEH BADGER JACKSON
1900 E MAIN ST
DANVILLE, IL 61832-5100
Phone number: 217-554-4074
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