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1477691707
KATHLEEN G RUSSO
PLAINFIELD, IL
NPI
1477691707
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146008152)
Enumeration Date
2007-02-01
Last Update Date
2007-07-08
Business Address
Mrs. KATHLEEN G RUSSO MS CCC SLP L
25439 BOWER CT
PLAINFIELD, IL 60585-2579
Phone number: 708-601-2696
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Mailing Address
Mrs. KATHLEEN G RUSSO MS CCC SLP L
25439 BOWER COURT
PLAINFIELD, IL 60585
Phone number: 708-601-2696
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