LISA M KUBELKA

ROCKFORD, IL
NPI1083995955
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146.005286)
Enumeration Date2011-09-06
Last Update Date2020-01-09
Business Address
LISA M KUBELKA
209 9TH ST STE 302
ROCKFORD, IL 61104-2235
Phone number: 779-696-4400
Mailing Address
LISA M KUBELKA
PO BOX 78866
MILWAUKEE, WI 53278-8866
Phone number: 779-696-4400