Individual
REBECCA SUE MOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
516 E JACKSON ST, MACOMB, IL 61455-2311
(309) 836-6500
(309) 836-6506
Mailing address
1117 HAWKINSON AVE, APT-5, GALESBURG, IL 61401-2486
(309) 238-0322
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150011068
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
091578101
MASTERS TEST ID
IL
01
—
370984175
BRIDGEWAY INC FEIN
IL
Enumeration date
04/12/2007
Last updated
08/16/2007
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