Individual
DEBRA J BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
501 7TH ST, ROCKFORD, IL 61104-1242
(815) 966-3000
Mailing address
1809 EASTWOOD DR, STOUGHTON, WI 53589-5248
(608) 516-0142
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.013319
IL
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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