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1437664059
STACY IRENE DEJONG
FRANKFORT, IL
NPI
1437664059
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Former Name
STACY IRENE MAAG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146012745)
Enumeration Date
2017-12-05
Last Update Date
2017-12-05
Business Address
STACY IRENE DEJONG CCC-SLP
20912 S FRANKFORT SQUARE RD
FRANKFORT, IL 60423-8123
Phone number: 815-469-6993
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Mailing Address
STACY IRENE DEJONG CCC-SLP
18110 DORCHESTER AVE
LANSING, IL 60438-1511
Phone number:
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