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1952659401
ELIZABETH ELLISON
ROCKFORD, IL
NPI
1952659401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 178-006648)
Enumeration Date
2012-08-15
Last Update Date
2012-08-15
Business Address
-- ELIZABETH ELLISON LPC
3815 HARRISON AVE
ROCKFORD, IL 61108-7631
Phone number: 815-391-1000
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Mailing Address
-- ELIZABETH ELLISON LPC
1021 N MULFORD RD
ROCKFORD, IL 61107-3877
Phone number: 815-387-5600
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