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1215162995
SANDRA LEE PETERSEN
ADDISON, IL
NPI
1215162995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146.002406)
Enumeration Date
2009-05-24
Last Update Date
2009-05-24
Business Address
-- SANDRA LEE PETERSEN SLP
805 W STONEMILL AVE
ADDISON, IL 60101-2210
Phone number: 630-628-4165
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Mailing Address
-- SANDRA LEE PETERSEN SLP
805 W STONEMILL AVE
ADDISON, IL 60101-2210
Phone number: 630-628-4165
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