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1891702155
JO SACK
PEORIA, IL
NPI
1891702155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180004604)
Enumeration Date
2006-08-01
Last Update Date
2012-11-16
Business Address
-- JO SACK LCPC
6615 N BIG HOLLOW RD
PEORIA, IL 61615-2450
Phone number: 309-692-6622
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Mailing Address
-- JO SACK LCPC
6615 N BIG HOLLOW RD
PEORIA, IL 61615-2450
Phone number: 309-692-6622
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