MARA ELIZABETH HALVERSON

ROCKFORD, IL
NPI1750017216
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  242.006873)
Enumeration Date2022-07-27
Last Update Date2022-07-27
Business Address
MARA ELIZABETH HALVERSON CF-SLP
209 9TH ST
ROCKFORD, IL 61104-2235
Phone number: 779-696-4470
Mailing Address
MARA ELIZABETH HALVERSON CF-SLP
3345 CARBINEER DR
BELVIDERE, IL 61008-9731
Phone number: 815-222-8048