Theresa Moen

NPI #1174084362 in Plainfield, Illinois

Provider Information

NPI Number
1174084362
Entity Type
Individual
Name
Theresa Moen
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Mar 29, 2019
Last Updated
Oct 16, 2019

Practice Location

Address
11914 S ROUTE 59 UNIT 124
ZIP Code
60585-5110
Phone
(630) 381-0496

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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