Individual
KENYETTTA MONQUIE WATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2704 N MAIN ST, ROCKFORD, IL 61103-3112
(815) 720-5012
Mailing address
2704 N MAIN ST, ROCKFORD, IL 61103-3112
(815) 720-5012
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.117863
IL
Other
Enumeration date
02/20/2026
Last updated
02/20/2026
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