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1477530723
TERRY L MINNICK
ROCKFORD, IL
NPI
1477530723
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180-003514)
Enumeration Date
2005-12-28
Last Update Date
2007-07-08
Business Address
Mr. TERRY L MINNICK LCPC
5702 ELAINE DR
ROCKFORD, IL 61108-2458
Phone number: 815-229-7102
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Mailing Address
Mr. TERRY L MINNICK LCPC
7604 BRIDLEWOOD RD
CALEDONIA, IL 61011-9013
Phone number: 815-885-1195
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