Individual
ELIZABETH DOROTHY YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1750 MADRON RD, ROCKFORD, IL 61107-2459
(815) 229-2492
Mailing address
3603 SHATTUCK LN, ROCKFORD, IL 61114-8194
(815) 298-6167
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.001759
IL
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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