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ANDREA WATSON MS/CCC/SLP-L

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1457879702

Individual Registrant:
 ANDREA  WATSON MS/CCC/SLP-L
Gender: F
Not Sole Proprietor

Location and contact information for practice:
410 S HICKORY ST  STILLMAN VALLEY, IL 61084-8803 US
Tel: 815-645-2230  Fax: 815-645-8200

Contact information for business:
2332 KRISTI LN  ROCKFORD, IL 61102-2521 US
Tel: --  Fax: --

Registration Information:
NPI: 1457879702
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
IL146013055

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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