Individual
JESSICA STOLLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
301 EAST MONROE ST, BLOOMINGTON, IL 61701
(309) 827-6031
Mailing address
301 EAST MONROE ST, BLOOMINGTON, IL 61701
(309) 827-6031
(309) 827-5717
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.011996
IL
Other
Enumeration date
04/29/2013
Last updated
01/09/2025
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