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1922606235
MATTHEW KENNETH ROGERS
CHAMPAIGN, IL
NPI
1922606235
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149022541)
Enumeration Date
2020-10-09
Last Update Date
2020-10-09
Business Address
MATTHEW KENNETH ROGERS
2302 MORELAND BLVD
CHAMPAIGN, IL 61822-1398
Phone number: 217-356-7576
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Mailing Address
MATTHEW KENNETH ROGERS
1021 N MULFORD RD
ROCKFORD, IL 61107-3874
Phone number:
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