Individual
JUDI HORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
714 MIDDLE ST, PRAIRIE DU ROCHER, IL 62277-2136
(618) 284-3530
Mailing address
400 W MILL ST, WATERLOO, IL 62298-1238
(618) 830-0072
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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