BRUCE PERSON

LOVES PARK, IL
NPI1629341219
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149-007548)
Enumeration Date2012-02-14
Last Update Date2012-02-14
Business Address
-- BRUCE PERSON LCSW
1752 WINDSOR RD STE 203
LOVES PARK, IL 61111-4276
Phone number: 815-986-1113
Mailing Address
-- BRUCE PERSON LCSW
1210 E GATE PKWY
ROCKFORD, IL 61108-6137
Phone number: 815-986-1113
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