MELISSA PARK

NORMAL, IL
NPI1972228732
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146014250)
Additional Taxonomies235Z00000X Speech-Language Pathologist,
Enumeration Date2022-10-04
Last Update Date2022-10-04
Business Address
MELISSA PARK
810 PHAETON PL
NORMAL, IL 61761-4836
Phone number: 847-401-4024
Mailing Address
MELISSA PARK
810 PHAETON PL
NORMAL, IL 61761-4836
Phone number: 847-401-4024