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1588177398
KERRY LARSON
ROCKFORD, IL
NPI
1588177398
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149018521)
Enumeration Date
2017-11-15
Last Update Date
2018-03-17
Business Address
KERRY LARSON
3815 HARRISON AVE
ROCKFORD, IL 61108-7631
Phone number: 815-391-1000
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Mailing Address
KERRY LARSON
1021 N MULFORD RD
ROCKFORD, IL 61107-3877
Phone number: 815-387-5600
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