Individual
EMILY PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
410 S HICKORY ST, STILLMAN VALLEY, IL 61084-8803
(815) 645-2230
Mailing address
2500 RIDGEFIELD DR, BELVIDERE, IL 61008-6471
(815) 708-5655
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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