MARION JACKSON MITO

PARK RIDGE, IL
NPI1912219890
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146.001757)
Enumeration Date2010-07-08
Last Update Date2010-07-08
Business Address
-- MARION JACKSON MITO M.A. CCC-SLP
1875 DEMPSTER ST PARKSIDE G-10
PARK RIDGE, IL 60068-1186
Phone number: 847-723-7848
Mailing Address
-- MARION JACKSON MITO M.A. CCC-SLP
2616 N WILSHIRE LN
ARLINGTON HEIGHTS, IL 60004-2275
Phone number: 847-253-2278
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