Individual
LINDA HAUGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2704 N MAIN ST, ROCKFORD, IL 61103-3112
(815) 968-9300
Mailing address
1021 N MULFORD RD, ROCKFORD, IL 61107-3877
(815) 387-5600
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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