DAMIEN JACKSON

MUNDELEIN, IL
NPI1588256424
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149021097)
Enumeration Date2021-02-10
Last Update Date2021-02-10
Business Address
DAMIEN JACKSON
201 MAPLEWOOD AVE
MUNDELEIN, IL 60060-4129
Phone number: 773-234-4808
Mailing Address
DAMIEN JACKSON
201 MAPLEWOOD AVE
MUNDELEIN, IL 60060-4129
Phone number:
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