Marlena Lynn Sjostrom

NPI #1518306554 in Roscoe, Illinois

Provider Information

NPI Number: 1518306554
Entity Type: Individual
Name: Marlena Lynn Sjostrom
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Jun 24, 2013
Last Updated: Jun 24, 2013

Practice Location

Address: 459 PINE WHITE RD UNIT 4
City: Roscoe
State: Illinois
ZIP Code: 61073-5667
Phone: (815) 979-6874

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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