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1679047450
SHANEL JACKSON
CHICAGO, IL
NPI
1679047450
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 178014287)
Enumeration Date
2019-01-15
Last Update Date
2019-01-15
Business Address
SHANEL JACKSON
53 W JACKSON BLVD STE 1636
CHICAGO, IL 60604-3729
Phone number: 510-393-3223
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Mailing Address
SHANEL JACKSON
7335 HOLLY CT UNIT 2
RIVER FOREST, IL 60305-1915
Phone number: 510-393-3223
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