Individual
GRACE GEORGINA MAIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 9TH ST STE 302, ROCKFORD, IL 61104-2235
(779) 696-8318
Mailing address
209 9TH ST, ROCKFORD, IL 61104-2235
(779) 696-8318
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242008652
IL
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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