ANNELISE THIFAULT

ROCKFORD, IL
NPI1912410663
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  242.004652)
Enumeration Date2017-11-15
Last Update Date2017-11-15
Business Address
ANNELISE THIFAULT
2525 OHIO PKWY
ROCKFORD, IL 61108-7517
Phone number: 815-229-2800
Mailing Address
ANNELISE THIFAULT
273 CORDIAL DR
BRIDGEVILLE, PA 15017-1133
Phone number:
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