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JESSICA SWISEGOOD MS, CCC-SLP

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1689877516

Individual Registrant:
 JESSICA  SWISEGOOD MS, CCC-SLP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
5345 DURANGO TRL  PLEASANT PLAINS, IL 62677-4072 US
Tel: 217-502-7951  Fax: --

Contact information for business:
5345 DURANGO TRL  PLEASANT PLAINS, IL 62677-4072 US
Tel: 217-502-7951  Fax: --

Registration Information:
NPI: 1689877516
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
IL146.008908

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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