STEPHEN DAVID JUDSON

SPRINGFIELD, IL
NPI1548932155
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146009399)
Enumeration Date2021-10-01
Last Update Date2021-10-01
Business Address
Mr. STEPHEN DAVID JUDSON
128 N DOUGLAS AVE
SPRINGFIELD, IL 62702-4814
Phone number: 630-200-3222
Mailing Address
Mr. STEPHEN DAVID JUDSON
128 N DOUGLAS AVE
SPRINGFIELD, IL 62702-4814
Phone number: 630-200-3222