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1306183728
CARLA MOORE
MATTESON, IL
NPI
1306183728
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146006348)
Enumeration Date
2013-01-04
Last Update Date
2013-01-04
Business Address
-- CARLA MOORE
52 TREEHOUSE RD
MATTESON, IL 60443-1262
Phone number: 708-748-5901
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Mailing Address
-- CARLA MOORE
52 TREEHOUSE RD
MATTESON, IL 60443-1262
Phone number: 708-748-5901
Copy
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