Individual
ALICIA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.S.W.
Contact information
Practice address
8616 NORTHERN AVE, ROCKFORD, IL 61107-5309
(815) 338-8003
(815) 332-6090
Mailing address
1021 N MULFORD RD, ROCKFORD, IL 61107-3877
(815) 387-5600
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150-013436
IL
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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