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1982473161
JACOB RYAN BORGE
NORTHBROOK, IL
NPI
1982473161
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 178.019722)
Enumeration Date
2023-12-28
Last Update Date
2023-12-28
Business Address
JACOB RYAN BORGE M.A., LPC
3100 DUNDEE RD STE 101
NORTHBROOK, IL 60062-2462
Phone number: 847-919-9096
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Mailing Address
JACOB RYAN BORGE M.A., LPC
4431 N RACINE AVE APT 3S
CHICAGO, IL 60640-5661
Phone number: 701-205-9327
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