Individual
CARLI BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 N MULFORD RD, ROCKFORD, IL 61107-3877
(815) 387-5600
(815) 316-4726
Mailing address
1021 N MULFORD RD, ROCKFORD, IL 61107-3877
(815) 387-5600
(815) 316-4726
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178012052
IL
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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