Individual
WHITNEY MARGUERITE MAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 UNIVERSITY DR, ROCKFORD, IL 61107-5317
(815) 391-1000
Mailing address
1021 N MULFORD RD, ROCKFORD, IL 61107-3877
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/18/2019
Last updated
02/18/2019
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