TRACY GUNDERSON

CHAMPAIGN, IL
NPI1811210909
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146004158)
Enumeration Date2010-03-03
Last Update Date2010-03-03
Business Address
-- TRACY GUNDERSON
809 W DANIEL ST
CHAMPAIGN, IL 61820-5803
Phone number: 217-840-4543
Mailing Address
-- TRACY GUNDERSON
2109 NOEL DR
CHAMPAIGN, IL 61821-6552
Phone number:
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