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1225892540
BERENICE JAQUEZ
ROCKFORD, IL
NPI
1225892540
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.025870)
Enumeration Date
2024-02-07
Last Update Date
2024-02-07
Business Address
BERENICE JAQUEZ LCSW
1639 N ALPINE RD STE 204
ROCKFORD, IL 61107-1481
Phone number: 779-423-0275
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Mailing Address
BERENICE JAQUEZ LCSW
1639 N ALPINE RD STE 204
ROCKFORD, IL 61107-1481
Phone number: 779-423-0275
Copy
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