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1851747000
CORINA MCCULLOH
ROCKFORD, IL
NPI
1851747000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 178011788)
Enumeration Date
2016-05-06
Last Update Date
2016-05-06
Business Address
-- CORINA MCCULLOH LPC
8616 NORTHERN AVE
ROCKFORD, IL 61107-5309
Phone number: 815-332-8003
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Mailing Address
-- CORINA MCCULLOH LPC
1021 N MULFORD RD
ROCKFORD, IL 61107-3877
Phone number: 815-391-5600
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