THERESA MOEN

PLAINFIELD, IL
NPI1174084362
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  242.004885)
Enumeration Date2019-03-29
Last Update Date2019-10-16
Business Address
THERESA MOEN
11914 S ROUTE 59 UNIT 124
PLAINFIELD, IL 60585-5110
Phone number: 630-381-0496
Mailing Address
THERESA MOEN
2505 WHITE OAK LN
LISLE, IL 60532-3263
Phone number:
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