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Individual

AMANDA HURLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC, CADC

Contact information

Practice address
1021 N MULFORD RD, ROCKFORD, IL 61107-3877
(815) 363-6132
Mailing address
4100 VETERANS PKWY, MCHENRY, IL 60050-8350
(815) 363-6132

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.007179
IL

Other

Enumeration date
11/05/2010
Last updated
12/31/2012
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