SUSAN CARRASCO

PEORIA, IL
NPI1548804925
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  242.005663)
Enumeration Date2019-10-29
Last Update Date2019-10-29
Business Address
SUSAN CARRASCO
5409 N KNOXVILLE AVE
PEORIA, IL 61614-5069
Phone number: 309-691-1040
Mailing Address
SUSAN CARRASCO
5605 N WITHERSHIN PT UNIT 3C
PEORIA, IL 61615-3013
Phone number: 714-618-1233
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