LEIANA JAE THOMAS GARY

CHICAGO, IL
NPI1730341561
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146004351)
Enumeration Date2008-07-02
Last Update Date2008-07-02
Business Address
-- LEIANA JAE THOMAS GARY
7937 S EVANS AVE
CHICAGO, IL 60619-3906
Phone number: 773-368-6610
Mailing Address
-- LEIANA JAE THOMAS GARY
7937 S EVANS
CHICAGO, IL 60619
Phone number: