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1053889774
LAKEN J SISSON
ROCKFORD, IL
NPI
1053889774
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Former Name
LAKEN J RIPPENTROP
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2018-11-12
Last Update Date
2019-05-01
Business Address
Ms. LAKEN J SISSON
301 E STATE ST
ROCKFORD, IL 61104-1012
Phone number: 815-668-7810
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Mailing Address
Ms. LAKEN J SISSON
301 E STATE ST
ROCKFORD, IL 61104-1012
Phone number: 815-990-5265
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