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1861873705
SUE BERGSTROM
SAINT CHARLES, IL
NPI
1861873705
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146.000404)
Enumeration Date
2015-06-16
Last Update Date
2015-06-16
Business Address
-- SUE BERGSTROM
263 GRAND RIDGE RD
SAINT CHARLES, IL 60175-1074
Phone number: 630-762-9984
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Mailing Address
-- SUE BERGSTROM
263 GRAND RIDGE RD
SAINT CHARLES, IL 60175-1074
Phone number: 630-762-9984
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