Individual
JENNY R. DOERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4603 N KNOXVILLE AVE, PEORIA, IL 61614-6107
(309) 672-6525
Mailing address
4603 N KNOXVILLE AVE, PEORIA, IL 61614-6107
(309) 672-6525
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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