Citied

NPI #1881372308 in Rockford, Illinois

Provider Information

NPI Number: 1881372308
Entity Type: Organization
Organization Name: Citied
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jul 5, 2023
Last Updated: Oct 19, 2023

Practice Location

Address: 5301 E STATE ST STE 309A
City: Rockford
State: Illinois
ZIP Code: 61108-2399
Phone: (608) 713-3454

Authorized Official

Name: ASHTON RAE LOCKHART
Title: SOLE PROPRIETOR
Phone: (608) 713-3454

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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