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1932509924
JENNIFER CHRISTINE BUBRICK
DIXON, IL
NPI
1932509924
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-08-27
Last Update Date
2014-08-27
Business Address
-- JENNIFER CHRISTINE BUBRICK
325 ILLINOIS RT 2
DIXON, IL 61021-9118
Phone number: 815-284-6611
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Mailing Address
-- JENNIFER CHRISTINE BUBRICK
77 HARRISON AVE
DIXON, IL 61021-2737
Phone number: 815-973-8783
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