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1831447457
STEPHANIE SEVERSON
ROCKFORD, IL
NPI
1831447457
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: IL 166.000966)
Enumeration Date
2012-08-29
Last Update Date
2016-05-10
Business Address
-- STEPHANIE SEVERSON LMFT
1463 S BELL SCHOOL RD
ROCKFORD, IL 61108-1406
Phone number: 815-742-3808
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Mailing Address
-- STEPHANIE SEVERSON LMFT
4641 STEWARD RD
ROCKFORD, IL 61101-2004
Phone number:
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