AMANDA YVONNE BEAVER

CARBONDALE, IL
NPI1073904546
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146.012424)
Enumeration Date2015-02-05
Last Update Date2015-02-05
Business Address
-- AMANDA YVONNE BEAVER
306 W MILL ST
CARBONDALE, IL 62901-2727
Phone number: 618-529-3060
Mailing Address
-- AMANDA YVONNE BEAVER
4355 STATE HIGHWAY 148
MULKEYTOWN, IL 62865-3219
Phone number: 618-927-2647