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1124370309
CORLIS BERCHIOLLY
ROCKFORD, IL
NPI
1124370309
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146.003072)
Enumeration Date
2012-10-11
Last Update Date
2012-10-11
Business Address
-- CORLIS BERCHIOLLY SLP
5510 NICHOLS DR
ROCKFORD, IL 61108-2333
Phone number: 815-289-4908
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Mailing Address
-- CORLIS BERCHIOLLY SLP
5510 NICHOLS DR
ROCKFORD, IL 61108-2333
Phone number:
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