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Individual

ERIC RUSSELL ONSGARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, LCSW

Contact information

Practice address
2704 N MAIN ST, ROCKFORD, IL 61103-3112
(855) 751-4348
Mailing address
528 KING ST, BELVIDERE, IL 61008-3015
(815) 904-9202

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.015319
IL

Other

Enumeration date
07/27/2012
Last updated
03/05/2020
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