REBECCA MUDD

WATERLOO, IL
NPI1619146487
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  242000494)
Additional Taxonomies235Z00000X Speech-Language Pathologist,
(Licence: IL  146009372)
Enumeration Date2008-02-26
Last Update Date2010-04-16
Business Address
-- REBECCA MUDD ST
310 W 3RD ST
WATERLOO, IL 62298-1355
Phone number: 618-520-9907
Mailing Address
-- REBECCA MUDD ST
310 W 3RD ST
WATERLOO, IL 62298-1355
Phone number: 618-520-9907