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1053474460
MICHAEL JOHN TRADER
ROCKFORD, IL
NPI
1053474460
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149000557)
Enumeration Date
2006-12-18
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL JOHN TRADER L.C.S.W.
129 PHELPS AVE SUITE 818
ROCKFORD, IL 61108-2453
Phone number: 815-229-6316
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Mailing Address
Mr. MICHAEL JOHN TRADER L.C.S.W.
129 S PHELPS AVE SUITE 818
ROCKFORD, IL 61108-2453
Phone number: 815-229-6316
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