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1609889013
ROSE MARIE HAVENS
ROCKFORD, IL
NPI
1609889013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.006617)
Enumeration Date
2006-08-15
Last Update Date
2007-07-08
Business Address
-- ROSE MARIE HAVENS MSW LCSW
4940 E STATE ST SUITE 3
ROCKFORD, IL 61108-2270
Phone number: 815-227-0081
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Mailing Address
-- ROSE MARIE HAVENS MSW LCSW
4045 OAKLANE RD
ROCKFORD, IL 61109-4775
Phone number: 815-227-0081
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