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1194941666
GRETCHEN LYNN GOUGH
CHAMPAIGN, IL
NPI
1194941666
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 0146008599)
Enumeration Date
2007-04-17
Last Update Date
2007-07-08
Business Address
Mrs. GRETCHEN LYNN GOUGH MSCCC SLP
4102 BELMONT PT
CHAMPAIGN, IL 61822
Phone number: 217-366-0033
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Mailing Address
Mrs. GRETCHEN LYNN GOUGH MSCCC SLP
PO BOX 6694
CHAMPAIGN, IL 61826-6694
Phone number: 217-366-0033
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