Individual
ALLISON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 779-2009
Mailing address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
079949
IA
235Z00000X
Speech-Language Pathologist
Primary
242003548
IL
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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