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1659620482
ADRIENNE L JACOBSON
SPRINGFIELD, IL
NPI
1659620482
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: IL 1-08-4191)
Enumeration Date
2012-09-07
Last Update Date
2012-09-07
Business Address
-- ADRIENNE L JACOBSON M.A., B.C.B.A.
2035 W ILES AVE SUITE C
SPRINGFIELD, IL 62704-4192
Phone number: 217-726-1946
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Mailing Address
-- ADRIENNE L JACOBSON M.A., B.C.B.A.
6 ANNA LN
SPRINGFIELD, IL 62703-5303
Phone number: 217-971-8987
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