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Individual

JOHANNA EDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3335 28TH STREET CT, ROCK ISLAND, IL 61201-6313
(847) 224-9774
Mailing address
3335 28TH STREET CT, ROCK ISLAND, IL 61201-6313
(847) 224-9774

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002292
IA

Other

Enumeration date
01/06/2015
Last updated
01/06/2015
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