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1760900427
ERIN R MATOS
O FALLON, IL
NPI
1760900427
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146.009013)
Enumeration Date
2017-09-01
Last Update Date
2017-09-01
Business Address
Mrs. ERIN R MATOS BS, MS, CCC-SLP/L
118 E WASHINGTON ST
O FALLON, IL 62269-1419
Phone number: 618-632-3666
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Mailing Address
Mrs. ERIN R MATOS BS, MS, CCC-SLP/L
1946 CELEBRATION PARK CIR
BELLEVILLE, IL 62220-3267
Phone number: 618-920-3349
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