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JACQUELYN M LIGGETT SLP

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

Registrant NPI Number: 1285066266

Individual Registrant:
 JACQUELYN M LIGGETT SLP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
507 E ARMSTRONG AVE  PEORIA, IL 61603-3201 US
Tel: 309-686-1177  Fax: 309-686-7722

Contact information for business:
507 E ARMSTRONG AVE  PEORIA, IL 61603-3201 US
Tel: 309-686-1177  Fax: 309-686-7722

Registration Information:
NPI: 1285066266
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
IL242002765
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
IL146012078

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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