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1831122100
JESSICA DANNENMAIER
ROCKFORD, IL
NPI
1831122100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071-005325)
Enumeration Date
2006-07-09
Last Update Date
2007-07-08
Business Address
Dr. JESSICA DANNENMAIER Psy,D.
6072 BRYNWOOD DR 105
ROCKFORD, IL 61114-5829
Phone number: 815-979-3211
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Mailing Address
Dr. JESSICA DANNENMAIER Psy,D.
6072 BRYNWOOD DR 105
ROCKFORD, IL 61114-5829
Phone number: 815-979-3211
Copy
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