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1972075042
SAMANTHA JACOBS
NORTHBROOK, IL
NPI
1972075042
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: IL 18-74414)
Enumeration Date
2018-12-29
Last Update Date
2018-12-29
Business Address
SAMANTHA JACOBS RBT-18-74414
5 REVERE DR STE 120
NORTHBROOK, IL 60062-8005
Phone number: 847-306-9843
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Mailing Address
SAMANTHA JACOBS RBT-18-74414
5 REVERE DR STE 120
NORTHBROOK, IL 60062-8005
Phone number:
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