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Individual

MISS JACQUELINE LARAE WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.P.C.

Contact information

Practice address
40 E 9TH ST APT 1907, CHICAGO, IL 60605-2136
(312) 217-0503
Mailing address
2630 S WABASH AVE, CHICAGO, IL 60616-2825
(312) 808-3210

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178-002148
IL

Other

Enumeration date
05/27/2016
Last updated
04/26/2026
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