CARISSA LYNN THIELE

CRYSTAL LAKE, IL
NPI1720425465
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146010746)
Enumeration Date2013-06-03
Last Update Date2013-06-03
Business Address
Mrs. CARISSA LYNN THIELE MS, CCC-SLP
390 E CONGRESS PKWY SUITE A
CRYSTAL LAKE, IL 60014-6202
Phone number: 815-477-4788
Mailing Address
Mrs. CARISSA LYNN THIELE MS, CCC-SLP
390 E CONGRESS PKWY SUITE A
CRYSTAL LAKE, IL 60014-6202
Phone number: 815-477-4788
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