Provider Demographics
NPI:1154426468
Name:NORWOOD, MARY ANN (MA)
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:ANN
Last Name:NORWOOD
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
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Mailing Address - Street 1:6072 BRYNWOOD DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61114
Mailing Address - Country:US
Mailing Address - Phone:815-398-7483
Mailing Address - Fax:815-398-2116
Practice Address - Street 1:6072 BRYNWOOD DR
Practice Address - Street 2:SUITE 105
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61114
Practice Address - Country:US
Practice Address - Phone:815-398-7483
Practice Address - Fax:815-398-2116
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional