SUMMER DAWN ILCKEN

SAINT LOUIS, MO
NPI1851670350
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MO  2011025957)
Enumeration Date2011-08-15
Last Update Date2012-10-09
Business Address
-- SUMMER DAWN ILCKEN CCC-SLP
801 N 11TH ST
SAINT LOUIS, MO 63101-1015
Phone number: 314-231-3720
Mailing Address
-- SUMMER DAWN ILCKEN CCC-SLP
801 N 11TH ST
SAINT LOUIS, MO 63101-1015
Phone number: 314-231-3720