Individual
ELLEN L OBROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1261 MAINE ST, SUITE B, QUINCY, IL 62301-4275
(217) 641-0125
Mailing address
1261 MAINE ST, SUITE B, QUINCY, IL 62301-4275
(217) 641-0125
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2002002639
MO
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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