Individual
RONA LATICIA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
631 N LONGWOOD ST STE 103, ROCKFORD, IL 61107-4263
(815) 962-5585
Mailing address
631 N LONGWOOD ST STE 103, ROCKFORD, IL 61107-4263
(815) 962-5585
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178015856
IL
Other
Enumeration date
03/22/2022
Last updated
06/20/2023
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