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Organization

PRAIRIE WIND SPEECH THERAPY, INC.

Active
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Organization

PRAIRIE WIND SPEECH THERAPY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TRACY GUNDERSON (SPEECH PATHOLOGIST/FOUNDER)
(217) 840-4543
Entity
Organization

Contact information

Practice address
611 N DUNLAP AVE, SAVOY, IL 61874-8406
(217) 840-4543
Mailing address
2109 NOEL DR, CHAMPAIGN, IL 61821-6552
(217) 840-4543

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.004158
IL

Other

Enumeration date
07/25/2014
Last updated
07/25/2014
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