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1790846368
MARCIA SHAW
ROCKFORD, IL
NPI
1790846368
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149001593)
Enumeration Date
2006-12-13
Last Update Date
2007-07-08
Business Address
Mrs. MARCIA SHAW MSW
210 N LONGWOOD ST
ROCKFORD, IL 61107-4134
Phone number: 815-962-5585
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Mailing Address
Mrs. MARCIA SHAW MSW
210 N LONGWOOD ST
ROCKFORD, IL 61107-4134
Phone number: 815-962-5585
Copy
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