DIANA L CHAMBLIN-BEVIRT

BELLEVILLE, IL
NPI1912261264
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146.003549)
Enumeration Date2012-07-02
Last Update Date2012-07-02
Business Address
-- DIANA L CHAMBLIN-BEVIRT M.S. CCC-SLP
4700 MEMORIAL DR
BELLEVILLE, IL 62226-5373
Phone number: 618-257-5775
Mailing Address
-- DIANA L CHAMBLIN-BEVIRT M.S. CCC-SLP
1225 SIMMONS RD
O FALLON, IL 62269-6608
Phone number: 618-632-4335
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