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Individual

MRS. CONSTANCE LYNN FORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ED.D.,SLP

Contact information

Practice address
5768 EDISON CIR, HANOVER PARK, IL 60133-5334
(630) 205-1452
Mailing address
5768 EDISON CIR, HANOVER PARK, IL 60133-5334
(630) 205-1452

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.001169
IL

Other

Enumeration date
08/06/2010
Last updated
08/06/2010
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