DEIDRA DAWN PARKS

MOUNT VERNON, IL
NPI1508012352
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146.005992)
Enumeration Date2008-08-12
Last Update Date2008-08-12
Business Address
-- DEIDRA DAWN PARKS M.S. CCC/SLP
16721 E KENDALL RD
MOUNT VERNON, IL 62864-2077
Phone number: 618-214-2883
Mailing Address
-- DEIDRA DAWN PARKS M.S. CCC/SLP
16721 E KENDALL RD
MOUNT VERNON, IL 62864-2077
Phone number: 618-214-2883
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