Individual
ELIZABETH DUFFELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
209 9TH ST STE 302, ROCKFORD, IL 61104-2235
(779) 696-4470
Mailing address
209 9TH ST STE 302, ROCKFORD, IL 61104-2235
(779) 696-4470
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146012607
IL
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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