GRACE PETERSEN

MOKENA, IL
NPI1730918533
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  242007837)
Enumeration Date2024-07-30
Last Update Date2024-07-30
Business Address
GRACE PETERSEN M.S., SLP
9620 WILLOW LN
MOKENA, IL 60448-9318
Phone number: 815-763-1407
Mailing Address
GRACE PETERSEN M.S., SLP
1406 ADDLEMAN ST
JOLIET, IL 60431-2702
Phone number: