Provider Demographics
NPI:1144577214
Name:ARONSON-BROWN, MOIRA JEAN (MS/CCC SLP)
Entity Type:Individual
Prefix:MS
First Name:MOIRA
Middle Name:JEAN
Last Name:ARONSON-BROWN
Suffix:
Gender:F
Credentials:MS/CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:2160 S 1ST AVE
Mailing Address - Street 2:REHABILITATION SERVICES
Mailing Address - City:MAYWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60153-3328
Mailing Address - Country:US
Mailing Address - Phone:708-216-7297
Mailing Address - Fax:708-216-1321
Practice Address - Street 1:2160 S 1ST AVE
Practice Address - Street 2:REHABILITATION SERVICES
Practice Address - City:MAYWOOD
Practice Address - State:IL
Practice Address - Zip Code:60153-3328
Practice Address - Country:US
Practice Address - Phone:708-216-7297
Practice Address - Fax:708-216-1321
Is Sole Proprietor?:No
Enumeration Date:2012-08-08
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL146.001508235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist