GRACE ILLINGWORTH

GLENSIDE, PA
NPI1174295109
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: PA  SLO12583)
Enumeration Date2021-09-28
Last Update Date2021-09-28
Business Address
GRACE ILLINGWORTH
951 TENNIS AVE
GLENSIDE, PA 19038-1927
Phone number: 215-260-1255
Mailing Address
GRACE ILLINGWORTH
951 TENNIS AVE
GLENSIDE, PA 19038-1927
Phone number: 215-260-1255
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