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1689767709
STACIE MADDOX
OSWEGO, IL
NPI
1689767709
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146-006658)
Enumeration Date
2006-10-02
Last Update Date
2007-07-08
Business Address
Ms. STACIE MADDOX M.A., CCC-SLP
643 VISTA DR
OSWEGO, IL 60543-8129
Phone number: 630-651-9334
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Mailing Address
Ms. STACIE MADDOX M.A., CCC-SLP
643 VISTA DR
OSWEGO, IL 60543-8129
Phone number: 630-651-9334
Copy
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