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1932128865
WILLIAM P JACKSON
WAUKEGAN, IL
NPI
1932128865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.001636)
Enumeration Date
2006-07-19
Last Update Date
2012-02-15
Business Address
-- WILLIAM P JACKSON MSW, LCSW, ACSW
3010 GRAND AVE FL 1
WAUKEGAN, IL 60085-2321
Phone number: 847-377-8086
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Mailing Address
-- WILLIAM P JACKSON MSW, LCSW, ACSW
3010 GRAND AVE FL 1
WAUKEGAN, IL 60085-2321
Phone number: 847-377-8086
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