JOANN M LONG

ROCKFORD, IL
NPI1841320157
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146 006532)
Enumeration Date2007-03-06
Last Update Date2007-07-08
Business Address
Ms. JOANN M LONG MA CCC SLPL
5739 LACRESTA DRIVE
ROCKFORD, IL 61114
Phone number: 815-494-8869
Mailing Address
Ms. JOANN M LONG MA CCC SLPL
5739 LACRESTA DRIVE
ROCKFORD, IL 61114
Phone number: 815-494-8869