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1821720780
ALLYSON JULIENNE SMITH
ROCKFORD, IL
NPI
1821720780
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2022-06-29
Last Update Date
2022-06-29
Business Address
ALLYSON JULIENNE SMITH
1639 N ALPINE RD STE 260
ROCKFORD, IL 61107-1481
Phone number: 815-505-3978
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Mailing Address
ALLYSON JULIENNE SMITH
5448 TALON TRL
MACHESNEY PARK, IL 61115-8327
Phone number: 815-595-3978
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