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

Registrant NPI Number: 1063906592

Individual Registrant:
Gender: F
Not Sole Proprietor

Location and contact information for practice:
502 N MAIN ST  BRIGHTON, IL 62012-1042 US
Tel: 618-372-3232  Fax: --

Contact information for business:
301 JOHN ST  HIGHLAND, IL 62249-3217 US
Tel: 618-334-7494  Fax: --

Registration Information:
NPI: 1063906592
Entity Type: Individual

Specialty information:

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

Legacy codes, insurance codes and state license numbers:



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