Individual
MRS. AMELIA SUE ROSENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 STATE ROUTE 10 W, #3, CLINTON, IL 61727-2184
(815) 579-8770
Mailing address
1100 STATE RT 10 W, #3, CLINTON, IL 61727-2702
(815) 579-8770
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
2292595
IL
Other
Enumeration date
01/08/2010
Last updated
01/08/2010
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