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1083740005
BRIDGET BRODERICK
CHICAGO, IL
NPI
1083740005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146008010)
Enumeration Date
2007-02-26
Last Update Date
2007-10-22
Business Address
-- BRIDGET BRODERICK SLP
2212 N LAPORTE AVE
CHICAGO, IL 60639-3206
Phone number: 773-443-1903
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Mailing Address
-- BRIDGET BRODERICK SLP
2212 N LAPORTE AVE
CHICAGO, IL 60639-3206
Phone number: 773-443-1903
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