KATHRYN KELLOGG BASCO

DOWNERS GROVE, IL
NPI1922122779
Former NameKATHRYN KELLOGG FRANK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146003419)
Enumeration Date2007-03-19
Last Update Date2007-07-08
Business Address
-- KATHRYN KELLOGG BASCO
4613 HIGHLAND AVE
DOWNERS GROVE, IL 60515-2815
Phone number: 633-096-0932
Mailing Address
-- KATHRYN KELLOGG BASCO
4613 HIGHLAND AVE
DOWNERS GROVE, IL 60515-2815
Phone number: 633-096-0932
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