Individual
MRS. DEBRA PRICHARD-HURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5702 ELAINE DR, ROCKFORD, IL 61108-2458
(815) 229-2397
(815) 397-9827
Mailing address
5702 ELAINE DR, ROCKFORD, IL 61108-2458
(815) 229-2397
(815) 397-9827
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149-008812
IL
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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