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1255956942
KIMBERLY MICHELLE HENDERSON
ROCKFORD, IL
NPI
1255956942
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Former Name
KIMBERLY MICHELLE LEWIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: IL 150.108278)
Enumeration Date
2020-06-09
Last Update Date
2024-07-17
Business Address
KIMBERLY MICHELLE HENDERSON LSW
6392 LINDEN RD
ROCKFORD, IL 61109-2816
Phone number: 779-368-0060
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Mailing Address
KIMBERLY MICHELLE HENDERSON LSW
321 W JEFFERSON ST APT 6
ROCKFORD, IL 61101-1024
Phone number: 815-768-0012
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