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1659021996
MARISSA JEPSEN
WHEATON, IL
NPI
1659021996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 107341)
Enumeration Date
2022-03-28
Last Update Date
2023-09-21
Business Address
MARISSA JEPSEN LCSW
1512 DALY RD
WHEATON, IL 60187-3310
Phone number: 310-993-5230
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Mailing Address
MARISSA JEPSEN LCSW
40W927 IL ROUTE 64
ST CHARLES, IL 60175-5314
Phone number: 310-993-5230
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