Annelise Thifault

NPI #1912410663 in Rockford, Illinois

Provider Information

NPI Number
1912410663
Entity Type
Individual
Name
Annelise Thifault
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Nov 15, 2017
Last Updated
Nov 15, 2017

Practice Location

Address
2525 OHIO PKWY
ZIP Code
61108-7517
Phone
(815) 229-2800

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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