Individual
MS. ANCILLA LOUISE PARDUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1930 41ST ST, MOLINE, IL 61265-4501
(309) 558-9223
(309) 797-5526
Mailing address
1930 41ST ST, MOLINE, IL 61265-4501
(309) 558-9223
(309) 797-5526
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
AP99990804P
IL
235Z00000X
Speech-Language Pathologist
Primary
146.015119
IL
Other
Enumeration date
05/25/2007
Last updated
11/22/2019
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