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1376769844
SALLY L CARLSEN
CHAMPAIGN, IL
NPI
1376769844
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 0146005508)
Enumeration Date
2007-04-17
Last Update Date
2007-07-08
Business Address
-- SALLY L CARLSEN SLP
4102 BELMONT PT
CHAMPAIGN, IL 61822
Phone number: 217-366-0033
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Mailing Address
-- SALLY L CARLSEN SLP
PO BOX 125
NO HENDERSON, IL 61466-0125
Phone number: 309-464-5254
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