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1912243650
MATTHEW SAGE
ROCKFORD, IL
NPI
1912243650
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 178008601)
Enumeration Date
2012-12-28
Last Update Date
2012-12-28
Business Address
-- MATTHEW SAGE LPC
1601 N UNIVERSITY DR
ROCKFORD, IL 61107-5317
Phone number: 815-387-2500
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Mailing Address
-- MATTHEW SAGE LPC
1021 N MULFORD RD
ROCKFORD, IL 61107-3877
Phone number: 815-387-5600
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