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Organization
AMY AMANDA PRUSAK
Active
Organization
AMY AMANDA PRUSAK
Active
Other names
LIFT EVERY VOICE
Organization subpart
No
Provider details
NPI number
Authorized official
AMY AMANDA PRUSAK SLP (DIRECTOR)
(630) 336-5213
Entity
Organization
Contact information
Practice address
17500 DUVAN DR STE 2B, TINLEY PARK, IL 60477-3671
(708) 400-8348
Mailing address
14341 MAPLE LN, MIDLOTHIAN, IL 60445-2430
(312) 725-6148
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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