Individual
MS. CONSTANCE MILLER GARRY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1601 PARKVIEW AVE, UNIVERSITY PSYCHIATRIC SERVICES, ROCKFORD, IL 61107-1822
(815) 395-5870
(815) 395-5750
Mailing address
908 RIDGEWOOD RD, ROCKFORD, IL 61107-3054
(815) 965-8423
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Enumeration date
12/05/2005
Last updated
07/08/2007
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