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Individual

MARIAN ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CD(DONA)

Contact information

Practice address
424 7TH ST, ROCKFORD, IL 61104-1259
(815) 315-4652
Mailing address
7297 MONTMORENCY DR, ROCKFORD, IL 61108-4434
(815) 315-4652

Taxonomy

Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
IL

Other

Enumeration date
04/16/2025
Last updated
05/07/2025
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