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1578840351
VIRGINIA DESJARLAIS
ROCKFORD, IL
NPI
1578840351
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180.006992)
Enumeration Date
2011-11-08
Last Update Date
2011-11-08
Business Address
-- VIRGINIA DESJARLAIS PhD, LCPC
1243 N CHURCH ST
ROCKFORD, IL 61103-6240
Phone number: 815-520-3193
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Mailing Address
-- VIRGINIA DESJARLAIS PhD, LCPC
555 COLMAN CENTER DR
ROCKFORD, IL 61108-2747
Phone number: 815-399-4300
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