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1548469356
STACIE LYNN VODOPIVEC
LIBERTYVILLE, IL
NPI
1548469356
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146008930)
Enumeration Date
2007-07-12
Last Update Date
2007-07-12
Business Address
-- STACIE LYNN VODOPIVEC
1860 W WINCHESTER RD SUITE 108
LIBERTYVILLE, IL 60048-5351
Phone number: 847-573-9486
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Mailing Address
-- STACIE LYNN VODOPIVEC
1860 W WINCHESTER RD SUITE 108
LIBERTYVILLE, IL 60048-5351
Phone number: 847-573-9486
Copy
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