Individual
PATRICIA A KUNZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1601 PARKVIEW AVE, ROCKFORD, IL 61107-1822
(815) 395-5870
Mailing address
1601 PARKVIEW AVE, S300, ROCKFORD, IL 61107-1822
(815) 395-5861
(815) 395-5644
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1490101879
IL LCSW
IL
Enumeration date
07/27/2006
Last updated
07/08/2007
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