Individual
LEIGH ANN TACKABERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., F-AAA
Contact information
Practice address
435 N MULFORD RD STE 10, ROCKFORD, IL 61107-5100
(815) 399-5279
(815) 399-3764
Mailing address
435 N MULFORD RD STE 10, ROCKFORD, IL 61107-5100
(815) 399-5279
(815) 399-3764
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
—
IL
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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