SAMUEL L DENTON

ROCKFORD, IL
NPI1386183267
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149016762)
Enumeration Date2017-02-13
Last Update Date2017-02-13
Business Address
-- SAMUEL L DENTON LCSW
6392 LINDEN RD
ROCKFORD, IL 61109-2816
Phone number: 779-368-0060
Mailing Address
-- SAMUEL L DENTON LCSW
6392 LINDEN RD
ROCKFORD, IL 61109-2816
Phone number: 779-368-0060