Individual
ALANA DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 HUFFMAN BLVD, ROCKFORD, IL 61103-3946
(815) 966-3260
Mailing address
501 7TH ST, ROCKFORD, IL 61104-1242
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.004710
IL
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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