LAUREL KRISTINE MALLOY

ROCKFORD, IL
NPI1891278123
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2018-09-12
Last Update Date2018-09-12
Business Address
LAUREL KRISTINE MALLOY
1509 BENTON ST
ROCKFORD, IL 61107-4322
Phone number: 815-387-5600
Mailing Address
LAUREL KRISTINE MALLOY
1021 N MULFORD RD
ROCKFORD, IL 61107-3877
Phone number: