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1497428973
STEPHANIE LYNN VACKICEV
CRYSTAL LAKE, IL
NPI
1497428973
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146012278)
Enumeration Date
2021-07-29
Last Update Date
2021-07-29
Business Address
STEPHANIE LYNN VACKICEV MA CCC-SLP
8600 US HIGHWAY 14 STE 108
CRYSTAL LAKE, IL 60012-2700
Phone number: 630-379-7775
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Mailing Address
STEPHANIE LYNN VACKICEV MA CCC-SLP
2N474 PLEASANT AVE
GLEN ELLYN, IL 60137-2851
Phone number: 630-379-7775
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