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1386007276
EILEEN MARTHA LIEZERT
ROCKFORD, IL
NPI
1386007276
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.001045)
Enumeration Date
2016-03-30
Last Update Date
2016-03-30
Business Address
Ms. EILEEN MARTHA LIEZERT LCSW
210 N LONGWOOD ST
ROCKFORD, IL 61107-4134
Phone number: 815-962-5585
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Mailing Address
Ms. EILEEN MARTHA LIEZERT LCSW
210 N LONGWOOD ST
ROCKFORD, IL 61107-4134
Phone number: 815-962-5585
Copy
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