TIFFANY TIEASHA BURKETT

CHICAGO, IL
NPI1720302938
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146.0008425)
Enumeration Date2010-03-16
Last Update Date2010-03-16
Business Address
-- TIFFANY TIEASHA BURKETT
3402 W LEXINGTON ST
CHICAGO, IL 60624-4132
Phone number: 773-722-0801
Mailing Address
-- TIFFANY TIEASHA BURKETT
3402 W LEXINGTON ST
CHICAGO, IL 60624-4132
Phone number:
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