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1700920220
LAURA PENNA
ROCKFORD, IL
NPI
1700920220
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180004909)
Enumeration Date
2007-02-17
Last Update Date
2015-03-25
Business Address
-- LAURA PENNA L.C.P.C.
8616 NORTHERN AVE
ROCKFORD, IL 61107-5309
Phone number: 815-391-1000
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Mailing Address
-- LAURA PENNA L.C.P.C.
8616 NORTHERN AVE
ROCKFORD, IL 61107-5309
Phone number: 815-391-1000
Copy
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