JAMIE ELLSWORTH

BLOOMINGTON, IL
NPI1467570432
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146008388)
Enumeration Date2007-03-27
Last Update Date2007-07-08
Business Address
Ms. JAMIE ELLSWORTH SLP
700 E WALNUT ST
BLOOMINGTON, IL 61701-3244
Phone number: 309-827-8004
Mailing Address
Ms. JAMIE ELLSWORTH SLP
803 S EAST ST
BLOOMINGTON, IL 61701-6704
Phone number: 309-827-8004