LAURA S BUSSEY

ANNA, IL
NPI1174678767
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146006094)
Enumeration Date2007-01-24
Last Update Date2007-07-08
Business Address
-- LAURA S BUSSEY MSSLP-CCC
104 W JEFFERSON ST
ANNA, IL 62906-1208
Phone number: 618-697-3648
Mailing Address
-- LAURA S BUSSEY MSSLP-CCC
104 W JEFFERSON ST
ANNA, IL 62906-1208
Phone number: 618-697-3648
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