LAWRENCE CLAYTON & ASSOCIATES, LLC
Speech Language Pathology at Mulford Rd, Rockford, IL

License number
Illinois 147-000198
Category
Speech Language Pathology
Type
Audiologist-Hearing Aid Fitter
Owner
Name: MRS. LEIGH ANN TACKABERRY AUD
Title: CLINICAL AUDIOLOGIST
Phone: (815) 399-5279
Address
Address
435 N Mulford Rd STE 10, Rockford, IL 61107
National Provider ID: 1659552701
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LAWRENCE CLAYTON & ASSOCIATES, LLC

435 N Mulford Rd STE 10, Rockford, IL 61107

Registration:
Jul 14, 2005
State ID:
01567349
Business type:
Domestic LLC
Expiration:
Perpetual
Agent:
Jeffrey E Hardyman,124 N Water St #100, Rockford, IL 61110 (Physical)

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