STACY IRENE DEJONG

FRANKFORT, IL
NPI1437664059
Former NameSTACY IRENE MAAG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146012745)
Enumeration Date2017-12-05
Last Update Date2017-12-05
Business Address
STACY IRENE DEJONG CCC-SLP
20912 S FRANKFORT SQUARE RD
FRANKFORT, IL 60423-8123
Phone number: 815-469-6993
Mailing Address
STACY IRENE DEJONG CCC-SLP
18110 DORCHESTER AVE
LANSING, IL 60438-1511
Phone number: