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Individual
ANNA LEWIS MULROONEY
Active
Individual
ANNA LEWIS MULROONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146010550
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12097146
ASHA NUMBER
—
01
—
146010550
SLP IL LICENSE
IL
01
—
8744
NC SLP LICENSE
NC
01
—
AL99760412P
IL EI CREDENTIAL NUMBER
IL
Enumeration date
11/17/2010
Last updated
02/05/2024
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