LEXEY DETERDING

BELLEVILLE, IL
NPI1164943684
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  242.004140)
Enumeration Date2017-07-06
Last Update Date2022-07-21
Business Address
LEXEY DETERDING
106 LINCOLN PLACE CT
BELLEVILLE, IL 62221-5884
Phone number: 618-236-7588
Mailing Address
LEXEY DETERDING
106 LINCOLN PLACE CT
BELLEVILLE, IL 62221-5884
Phone number: 618-236-7588
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