ONTONIO JACKSON-LUCAS

GLENWOOD, IL
NPI1538946702
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  150.111442)
Enumeration Date2023-09-12
Last Update Date2023-09-12
Business Address
ONTONIO JACKSON-LUCAS
626 E GLENWOOD DYER RD
GLENWOOD, IL 60425-2227
Phone number: 708-983-9044
Mailing Address
ONTONIO JACKSON-LUCAS
626 E GLENWOOD DYER RD
GLENWOOD, IL 60425-2227
Phone number: 708-983-9044
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