Individual
MS. JEAN FRANCES PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CDS
Contact information
Practice address
2400 N ROCKTON AVE, ROCKFORD, IL 61103-3655
(815) 971-5184
(815) 971-9860
Mailing address
2400 N ROCKTON AVE, ROCKFORD, IL 61103-3655
(815) 971-5184
(815) 971-9860
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
222Q00000X
IL
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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