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WANDA DIDERICH
Professional Counselor
NPI: 1396259081IndividualAccepts Medicare
Specialties, Licenses & Credentials
Professional CounselorPrimary
Counselor — Professional
Code: 101YP2500X
178013374(IL)
CMS Specialties
PrimaryMENTAL HEALTH COUNSELOR
Education
OTHER
Class of 2017
Contact & Hours
- Address
- 8616 NORTHERN AVE
ROCKFORD, IL 61107 - Phone
- (815) 332-8003
Quick Facts
- NPI
- 1396259081
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 9
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