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1396962817
LORA PROCHASKA
ROCKFORD, IL
NPI
1396962817
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: IL LP40840993P)
Enumeration Date
2007-04-18
Last Update Date
2007-07-08
Business Address
LORA PROCHASKA DEVELOPMENTAL THERAP
6461 MUIRFIELD LN
ROCKFORD, IL 61114-7837
Phone number: 815-262-6231
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Mailing Address
LORA PROCHASKA DEVELOPMENTAL THERAP
6461 MUIRFIELD LN
ROCKFORD, IL 61114-7837
Phone number: 815-262-6231
Copy
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