Individual
DEBRA JOHNSON BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-SLP
Contact information
Practice address
202 N SHOW PLACE DR, ROCKFORD, IL 61107-5351
(815) 332-3700
Mailing address
104 WELTY AVE, ROCKFORD, IL 61107-4557
(815) 299-4612
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.000668
IL
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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