MARY JACKSON LEE

WHEATON, IL
NPI1679807614
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149007956)
Enumeration Date2009-09-23
Last Update Date2009-09-23
Business Address
-- MARY JACKSON LEE LCSW
615 W FRONT ST SUITE 201
WHEATON, IL 60187-4935
Phone number: 630-415-8980
Mailing Address
-- MARY JACKSON LEE LCSW
PO BOX 894
WHEATON, IL 60187-0894
Phone number: 630-415-8980
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