TERESA JEANNETTE DOHERTY

ROCKFORD, IL
NPI1093371221
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146.015417)
Enumeration Date2019-05-13
Last Update Date2022-11-30
Business Address
TERESA JEANNETTE DOHERTY
2990 N PERRYVILLE RD UNIT 1100
ROCKFORD, IL 61107-6827
Phone number: 815-469-1500
Mailing Address
TERESA JEANNETTE DOHERTY
2990 N PERRYVILLE RD UNIT 1100
ROCKFORD, IL 61107-6827
Phone number: 815-469-1500
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