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1841320157
JOANN M LONG
ROCKFORD, IL
NPI
1841320157
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146 006532)
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
Ms. JOANN M LONG MA CCC SLPL
5739 LACRESTA DRIVE
ROCKFORD, IL 61114
Phone number: 815-494-8869
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Mailing Address
Ms. JOANN M LONG MA CCC SLPL
5739 LACRESTA DRIVE
ROCKFORD, IL 61114
Phone number: 815-494-8869
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