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1528480001
EMILY GILLIAM
ROCKFORD, IL
NPI
1528480001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: IL 166000942)
Enumeration Date
2014-01-17
Last Update Date
2014-01-17
Business Address
-- EMILY GILLIAM LMFT
8616 NORTHERN AVE
ROCKFORD, IL 61107-5309
Phone number: 812-332-8003
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Mailing Address
-- EMILY GILLIAM LMFT
1021 N MULFORD RD
ROCKFORD, IL 61107-3877
Phone number: 815-687-5600
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