ADDISON JACKSON

RICHTON PARK, IL
NPI1821648668
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.021059)
Enumeration Date2019-09-13
Last Update Date2023-03-09
Business Address
ADDISON JACKSON LCSW
4137 SAUK TRL STE 146
RICHTON PARK, IL 60471-1253
Phone number: 708-983-8074
Mailing Address
ADDISON JACKSON LCSW
3715 VILLAGE DR
HAZEL CREST, IL 60429-2444
Phone number: 708-983-8074
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