JEFFREY BYRON SUNDBERG

ROCKFORD, IL
NPI1144236118
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149003876)
Enumeration Date2006-07-31
Last Update Date2007-07-08
Business Address
-- JEFFREY BYRON SUNDBERG lcsw
610 E STATE ST A
ROCKFORD, IL 61104-1038
Phone number: 815-332-8342
Mailing Address
-- JEFFREY BYRON SUNDBERG lcsw
610 A EAST STATE STREET
ROCKFORD, IL 61110-7044
Phone number: 815-332-8342
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