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1023413473
SEAN WALSH
ROCKFORD, IL
NPI
1023413473
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 178010387)
Enumeration Date
2014-10-28
Last Update Date
2014-10-28
Business Address
-- SEAN WALSH LPC
8616 NORTHERN AVE
ROCKFORD, IL 61107-5309
Phone number: 815-332-8003
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Mailing Address
-- SEAN WALSH LPC
8616 NORTHERN AVE
ROCKFORD, IL 61107-5309
Phone number: 815-332-8003
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