Individual
JODI L PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2423 BURRMONT RD, ROCKFORD, IL 61107-1839
(815) 395-1301
Mailing address
2423 BURRMONT RD, ROCKFORD, IL 61107-1839
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.006660
IL
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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