Individual
AUTUMN SCHAAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
433 PHELPS AVE STE 2, ROCKFORD, IL 61108-2442
(815) 397-4287
Mailing address
511 BROWN AVE, ROCKFORD, IL 61103-4143
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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