Individual
ANDREA WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS/CCC/SLP-L
Contact information
Practice address
410 S HICKORY ST, STILLMAN VALLEY, IL 61084-8803
(815) 645-2230
(815) 645-8200
Mailing address
2332 KRISTI LN, ROCKFORD, IL 61102-2521
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146013055
IL
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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