ELIZABETH ICE

EAST PEORIA, IL
NPI1235477472
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146011415)
Enumeration Date2013-01-23
Last Update Date2013-01-23
Business Address
-- ELIZABETH ICE
112 HEATHERVIEW DR
EAST PEORIA, IL 61611-4889
Phone number: 309-360-0707
Mailing Address
-- ELIZABETH ICE
610 E WALNUT ST
BLOOMINGTON, IL 61701-3242
Phone number: 309-363-8599
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