JENDAYA M CLARK

ROCKFORD, IL
NPI1346866563
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: IL  180.012915)
Enumeration Date2020-06-23
Last Update Date2020-06-23
Business Address
JENDAYA M CLARK
1201 CYPRESS TER
ROCKFORD, IL 61102-3375
Phone number: 815-519-8548
Mailing Address
JENDAYA M CLARK
PO BOX 341
ROCKFORD, IL 61105-0341
Phone number: 815-519-8548
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