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1063531887
CAROL JEAN COLLINS BURCHARDT
ROCKFORD, IL
NPI
1063531887
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Former Name
CAROL JEAN COLLINS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180 003390)
Enumeration Date
2007-03-29
Last Update Date
2009-07-20
Business Address
Mrs. CAROL JEAN COLLINS BURCHARDT LCPC
2440 CHARLES ST SUITE 201
ROCKFORD, IL 61108-1654
Phone number: 815-289-7209
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Mailing Address
Mrs. CAROL JEAN COLLINS BURCHARDT LCPC
1403 CHARLOTTE CT
ROCKFORD, IL 61108
Phone number: 815-289-7209
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