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1427228857
TRACEY LEE PARKER
ROCKFORD, IL
NPI
1427228857
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149012733)
Enumeration Date
2008-02-29
Last Update Date
2009-02-21
Business Address
Mrs. TRACEY LEE PARKER LCSW
415 S MULFORD RD
ROCKFORD, IL 61108-3011
Phone number: 815-566-5232
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Mailing Address
Mrs. TRACEY LEE PARKER LCSW
2923 COUNTRY MEADOW LN
BELVIDERE, IL 61008-8511
Phone number: 815-765-3707
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