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1982430286
MACKENZIE ANNE LOGAN
ROCKFORD, IL
NPI
1982430286
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: IL 178.020561)
Enumeration Date
2024-09-12
Last Update Date
2024-10-01
Business Address
MRS. MACKENZIE ANNE LOGAN LPC
695 N PERRYVILLE RD STE 4
ROCKFORD, IL 61107-6225
Phone number: 779-368-0060
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Mailing Address
MRS. MACKENZIE ANNE LOGAN LPC
5076 HERMITAGE TRL
ROCKFORD, IL 61114-7088
Phone number: 815-861-3147
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