KATHY KELLEY BOOZIOTIS

CARBONDALE, IL
NPI1861901647
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146002646)
Enumeration Date2017-09-25
Last Update Date2017-09-25
Business Address
KATHY KELLEY BOOZIOTIS
4033 S ILLINOIS AVE
CARBONDALE, IL 62903-8375
Phone number: 618-529-4151
Mailing Address
KATHY KELLEY BOOZIOTIS
811 S LIBERTY LN
CARBONDALE, IL 62902-5072
Phone number: 618-534-6592
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