Individual
MRS. ARIANNE DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA SLP
Contact information
Practice address
2400 N ROCKTON AVE, ROCKFORD, IL 61103-3655
(815) 971-5036
Mailing address
5833 WEYMOUTH DR, ROCKFORD, IL 61114-5548
(815) 766-2155
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242004069
IL
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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