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1528736832
MELISSA N JENDUSA
ROCKFORD, IL
NPI
1528736832
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL 33244)
Enumeration Date
2021-09-01
Last Update Date
2021-09-01
Business Address
MELISSA N JENDUSA CADC
5702 ELAINE DR STE 108
ROCKFORD, IL 61108-2458
Phone number: 779-901-0792
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Mailing Address
MELISSA N JENDUSA CADC
107 MEDINA ST
DURAND, IL 61024-8925
Phone number: 815-742-1816
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