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1891278123
LAUREL KRISTINE MALLOY
ROCKFORD, IL
NPI
1891278123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2018-09-12
Last Update Date
2018-09-12
Business Address
LAUREL KRISTINE MALLOY
1509 BENTON ST
ROCKFORD, IL 61107-4322
Phone number: 815-387-5600
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Mailing Address
LAUREL KRISTINE MALLOY
1021 N MULFORD RD
ROCKFORD, IL 61107-3877
Phone number:
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