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Organization
YOUTH SERVICE BUREAU OF ROCK ISLAND CO.
Active
Organization
YOUTH SERVICE BUREAU OF ROCK ISLAND CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD J CONNOR LCSW (EXECUTIVE DIRECTOR)
(309) 793-3460
Entity
Organization
Contact information
Practice address
4709 44TH ST, SUITE 5, ROCK ISLAND, IL 61201-7187
(309) 793-3460
(309) 732-0551
Mailing address
4709 44 STREET, ROCK ISLAND, IL 61201
(309) 793-3460
(309) 732-0551
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/25/2008
Last updated
01/25/2008
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