| Center For Marriage And Family, Inc. | |
|
4615 E State St Suite 130 Rockford IL 61108-2100 | |
| (815) 391-3055 | |
| Not Available |
| Full Name | Center For Marriage And Family, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4615 E State St, Rockford, Illinois |
| Authorized Official Name and Position | Jan M Selander (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8155206972 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Marriage And Family, Inc. 4615 E State St Suite 130 Rockford IL 61108-2100 Ph: (815) 391-3055 | Center For Marriage And Family, Inc. 4615 E State St Suite 130 Rockford IL 61108-2100 Ph: (815) 391-3055 |
| NPI Number | 1538526488 |
|---|---|
| Provider Enumeration Date | 01/23/2016 |
| Last Update Date | 01/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538526488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149017603 (Illinois) | Primary |
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