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Individual

GLORIA PAGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS CCC-SLP

Contact information

Practice address
2545 24TH ST, ROCK ISLAND, IL 61201-5305
(773) 297-7484
Mailing address
2705 36TH ST, ROCK ISLAND, IL 61201-5642
(773) 297-7484

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.006286
IL

Other

Enumeration date
08/03/2022
Last updated
08/03/2022
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