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1174989453
ASHLI SELF
CRYSTAL LAKE, IL
NPI
1174989453
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146012344)
Enumeration Date
2016-01-03
Last Update Date
2017-09-29
Business Address
-- ASHLI SELF
8600 US HIGHWAY 14 STE 108
CRYSTAL LAKE, IL 60012-2700
Phone number: 815-403-0485
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Mailing Address
-- ASHLI SELF
5704 WONDER WOODS DR
WONDER LAKE, IL 60097-9114
Phone number: 815-403-0485
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