Individual
ERICA LYNN PENNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3303 20TH ST, ROCKFORD, IL 61109-2312
(815) 229-2155
Mailing address
17025 EAGLES NEST CIR, STRONGSVILLE, OH 44136-6218
(440) 821-1630
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146013827
IL
Other
Enumeration date
09/27/2017
Last updated
09/27/2017
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