| NPI | 1942352083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMARIS MILTENBERGER Owner 618-351-1279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146002025) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2008-07-14 |