KATELYN MARIE LEWIS

MOUNT VERNON, IL
NPI1528394335
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  242001243)
Enumeration Date2009-10-29
Last Update Date2009-10-29
Business Address
-- KATELYN MARIE LEWIS S.T.
605 N 12TH ST
MOUNT VERNON, IL 62864-2857
Phone number: 618-436-8637
Mailing Address
-- KATELYN MARIE LEWIS S.T.
PO BOX 503927
ST LOUIS, MO 63150-3927
Phone number: 618-436-8637
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