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Addiction Substance Use Disorder

Rockford, Illinois

Provider NPI: 1659354330

Provider Information:
Gender: F

Practice Location:
Tel: 815-962-6100  Fax: 815-962-6107

Business Mailing Address:
Tel: 815-962-6100  Fax: 815-962-6107

Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
X101YA0400XBehavioral Health & Social Service Providers
Addiction (Substance Use Disorder)
X101YP2500XBehavioral Health & Social Service Providers


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