Individual
BLANCA E ANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS-CCC-SLP
Contact information
Practice address
1904 32ND ST, MOLINE, IL 61265-4334
(309) 737-8178
Mailing address
1904 32ND ST, MOLINE, IL 61265-4334
(309) 737-8178
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002133
IL
Other
Enumeration date
04/22/2013
Last updated
04/22/2013
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