SOPHIA KIMBERLY FANARA

ROCKFORD, IL
NPI1619780889
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146018176)
Enumeration Date2025-01-30
Last Update Date2025-01-30
Business Address
SOPHIA KIMBERLY FANARA M.S. CCC-SLP
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114-2300
Phone number: 815-971-7000
Mailing Address
SOPHIA KIMBERLY FANARA M.S. CCC-SLP
149 TITLEIST TRL
POPLAR GROVE, IL 61065-7808
Phone number: 815-980-6216
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