Individual
GABRIELLE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5222 SPRING CREEK RD, ROCKFORD, IL 61114-6330
(815) 654-4960
Mailing address
6167 PARISH PL, ROCKFORD, IL 61109-4127
(815) 874-1636
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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