LAURA ELLIS

SULLIVAN, IL
NPI1497104558
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146005004)
Enumeration Date2016-06-09
Last Update Date2016-06-09
Business Address
-- LAURA ELLIS SLP
1 MASONIC WAY
SULLIVAN, IL 61951
Phone number: 217-728-4394
Mailing Address
-- LAURA ELLIS SLP
23 COUNTRY CLUB EST.
SULLIVAN, IL 61951
Phone number: