RENITA SHORES-GASTON

ROCKFORD, IL
NPI1346614435
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.017848)
Enumeration Date2015-11-30
Last Update Date2022-09-26
Business Address
RENITA SHORES-GASTON LCSW
5844 ELAINE DR STE 101
ROCKFORD, IL 61108-2494
Phone number: 815-373-3027
Mailing Address
RENITA SHORES-GASTON LCSW
5844 ELAINE DR STE 101
ROCKFORD, IL 61108-2494
Phone number: 815-373-3027
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