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1629565106
PAT ROSS
ROCKFORD, IL
NPI
1629565106
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.013293)
Enumeration Date
2018-04-19
Last Update Date
2018-04-19
Business Address
PAT ROSS
2602 E STATE ST
ROCKFORD, IL 61108-1735
Phone number: 815-494-8774
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Mailing Address
PAT ROSS
2602 E STATE ST
ROCKFORD, IL 61108-1735
Phone number: 815-494-8774
Copy
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