Individual
MRS. ANDREA SCHROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S SCHOOL PSYCHOLO
Contact information
Practice address
200 W SOUTH ST, DURAND, IL 61024-9403
(815) 821-1575
Mailing address
103 N BAILEY AVE, FREEPORT, IL 61032-3703
(815) 821-1575
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
655637
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
655637
ILLINOIS STATE BOARD OF EDUCATION
IL
Enumeration date
07/17/2018
Last updated
07/17/2018
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