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1619216413
MELODY JACKSON
SOUTH HOLLAND, IL
NPI
1619216413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.015461)
Enumeration Date
2013-02-14
Last Update Date
2013-02-14
Business Address
Ms. MELODY JACKSON LCSW
1263 PRINCE DR
SOUTH HOLLAND, IL 60473-1128
Phone number: 773-507-2660
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Mailing Address
Ms. MELODY JACKSON LCSW
1263 PRINCE DR
SOUTH HOLLAND, IL 60473-1128
Phone number: 773-507-2660
Copy
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