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1811087836
CARRIE MODRA
LIBERTYVILLE, IL
NPI
1811087836
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146.007141)
Enumeration Date
2006-10-13
Last Update Date
2007-07-08
Business Address
Mrs. CARRIE MODRA M.S., CCC-SLP
1800 HOLLISTER DRIVE SUITE 205
LIBERTYVILLE, IL 60048-1111
Phone number: 847-918-7947
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Mailing Address
Mrs. CARRIE MODRA M.S., CCC-SLP
7811 GENEVA DR
GURNEE, IL 60031-9156
Phone number: 847-404-9264
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