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1871664011
KATHLEEN A KRUSE
ROCKFORD, IL
NPI
1871664011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 149007392)
Enumeration Date
2006-11-10
Last Update Date
2007-07-09
Business Address
-- KATHLEEN A KRUSE
1415 E STATE ST
ROCKFORD, IL 61104-2333
Phone number: 815-459-4376
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Mailing Address
-- KATHLEEN A KRUSE
PO BOX 1567
ROCKFORD, IL 61110-0067
Phone number:
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