Individual
MRS. DARLA MAE KIESER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1031 5TH AVE, BELVIDERE, IL 61008-5139
(815) 262-1559
Mailing address
8693 CENTAUR DR, BELVIDERE, IL 61008-8721
(815) 262-1559
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.002304
IL
Other
Enumeration date
11/26/2017
Last updated
01/01/2018
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