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1740985886
KAITLYN VANDERMAIDEN
SPRINGFIELD, IL
NPI
1740985886
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146.015811)
Enumeration Date
2023-03-30
Last Update Date
2023-03-30
Business Address
Ms. KAITLYN VANDERMAIDEN M.A., CCC-SLP
2416 S LOWELL AVE
SPRINGFIELD, IL 62704-4641
Phone number: 217-242-5551
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Mailing Address
Ms. KAITLYN VANDERMAIDEN M.A., CCC-SLP
2416 S LOWELL AVE
SPRINGFIELD, IL 62704-4641
Phone number: 217-242-5551
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