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1548932155
STEPHEN DAVID JUDSON
SPRINGFIELD, IL
NPI
1548932155
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146009399)
Enumeration Date
2021-10-01
Last Update Date
2021-10-01
Business Address
Mr. STEPHEN DAVID JUDSON
128 N DOUGLAS AVE
SPRINGFIELD, IL 62702-4814
Phone number: 630-200-3222
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Mailing Address
Mr. STEPHEN DAVID JUDSON
128 N DOUGLAS AVE
SPRINGFIELD, IL 62702-4814
Phone number: 630-200-3222
Copy
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