GREGORY K PARKER

ROCKFORD, IL
NPI1215091764
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  180004588)
Enumeration Date2006-12-20
Last Update Date2007-07-08
Business Address
-- GREGORY K PARKER LCPC
1415 E STATE ST
ROCKFORD, IL 61104-2333
Phone number: 815-489-4376
Mailing Address
-- GREGORY K PARKER LCPC
PO BOX 1567
ROCKFORD, IL 61110-0067
Phone number:
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