Individual
BRIAN CAUGHRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
312 HOLLISTER AVE, ROCKFORD, IL 61108-1645
(815) 218-2744
Mailing address
312 HOLLISTER AVE, ROCKFORD, IL 61108-1645
(815) 218-2744
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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