WANDA DIDERICH

ROCKFORD, IL
NPI1396259081
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  178013374)
Enumeration Date2017-11-17
Last Update Date2017-11-17
Business Address
WANDA DIDERICH
8616 NORTHERN AVE
ROCKFORD, IL 61107-5309
Phone number: 815-332-8003
Mailing Address
WANDA DIDERICH
1021 N MULFORD RD
ROCKFORD, IL 61107-3877
Phone number: 815-387-5600
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