CITIED

ROCKFORD, IL
NPI1881372308
Entity TypeOrganization
Authorized ContactASHTON RAE LOCKHART
Sole Proprietor
608-713-3454
Organization Subpart ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2023-07-05
Last Update Date2023-10-19
Business Address
CITIED
5301 E STATE ST STE 309A
ROCKFORD, IL 61108-2399
Phone number: 608-713-3454
Mailing Address
CITIED
1907 JONATHAN AVE
ROCKFORD, IL 61103-2908
Phone number: 815-621-3853
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