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Organization
RENITA SHORES-GASTON
Active
Organization
RENITA SHORES-GASTON
Active
Other names
Resilience Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
RENITA SHORES-GASTON (OWNER)
(815) 543-2789
Entity
Organization
Contact information
Practice address
5844 ELAINE DR STE 101, ROCKFORD, IL 61108-2494
(815) 373-3027
Mailing address
5844 ELAINE DR STE 101, ROCKFORD, IL 61108-2494
(815) 373-3027
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/24/2019
Last updated
09/26/2022
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