CARMEN SHAFE JORDAN

ROCKFORD, IL
NPI1295857845
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146007060)
Enumeration Date2007-04-04
Last Update Date2007-07-08
Business Address
-- CARMEN SHAFE JORDAN M.A., CCC-SLP
1401 E STATE ST
ROCKFORD, IL 61104-2315
Phone number: 815-489-4470
Mailing Address
-- CARMEN SHAFE JORDAN M.A., CCC-SLP
1401 E STATE ST
ROCKFORD, IL 61104-2315
Phone number: 815-489-4470