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1457696007
REBECCA JEAN GODDARD
CHICAGO, IL
NPI
1457696007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146.011265)
Enumeration Date
2012-12-09
Last Update Date
2012-12-09
Business Address
Miss REBECCA JEAN GODDARD
11142 S WASHTENAW AVE
CHICAGO, IL 60655-1932
Phone number: 773-742-1465
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Mailing Address
Miss REBECCA JEAN GODDARD
11142 S WASHTENAW AVE
CHICAGO, IL 60655-1932
Phone number: 773-742-1465
Copy
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