KATHLEEN A KRUSE

ROCKFORD, IL
NPI1871664011
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  149007392)
Enumeration Date2006-11-10
Last Update Date2007-07-09
Business Address
-- KATHLEEN A KRUSE
1415 E STATE ST
ROCKFORD, IL 61104-2333
Phone number: 815-459-4376
Mailing Address
-- KATHLEEN A KRUSE
PO BOX 1567
ROCKFORD, IL 61110-0067
Phone number:
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