NPI | 1184124042 |
---|---|
Entity Type | Organization |
Authorized Contact | LAUREN THERESA MANDRELLE Slp 847-322-1126 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 3299-154) |
Enumeration Date | 2018-02-17 |
Last Update Date | 2018-02-17 |