JACLYN ANNETTE PETERSEN

CHAMPAIGN, IL
NPI1780273102
Professional NameJAX ANNETTE PETERSEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.022485)
Enumeration Date2021-01-11
Last Update Date2021-01-11
Business Address
JACLYN ANNETTE PETERSEN MSW
309 W CLARK ST
CHAMPAIGN, IL 61820-4637
Phone number: 217-398-9066
Mailing Address
JACLYN ANNETTE PETERSEN MSW
309 W CLARK ST
CHAMPAIGN, IL 61820-4637
Phone number: 217-398-9066
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