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1437794559
MICHELLE THERESA BRUNNER
CHICAGO, IL
NPI
1437794559
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: IL 146.012593)
Enumeration Date
2019-11-13
Last Update Date
2019-11-13
Business Address
MICHELLE THERESA BRUNNER
814 N MARSHFIELD AVE # 3N
CHICAGO, IL 60622-5129
Phone number: 847-997-1028
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Mailing Address
MICHELLE THERESA BRUNNER
814 N MARSHFIELD AVE # 3N
CHICAGO, IL 60622-5129
Phone number: 847-997-1028
Copy
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