NPI | 1982876769 |
---|---|
Other Name | SEDTS |
Entity Type | Organization |
Authorized Contact | TASHA GIBSON Director Of Services 708-283-0411 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146-005271) |
Enumeration Date | 2008-04-01 |
Last Update Date | 2008-04-01 |