DEBORAH PROVENZANO

CHICAGO, IL
NPI1164548376
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: IL  217.000055)
Enumeration Date2007-03-21
Last Update Date2007-07-08
Business Address
Mrs. DEBORAH PROVENZANO SLPA
9736 S HAMILTON AVE
CHICAGO, IL 60643-1644
Phone number: 773-343-8484
Mailing Address
Mrs. DEBORAH PROVENZANO SLPA
9736 S HAMILTON AVE
CHICAGO, IL 60643-1644
Phone number: 773-343-8484
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