Individual
MS. ARCHIE RININTA RONAULI SOELAEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CF-SLP
Contact information
Practice address
9649 W 55TH ST, COUNTRYSIDE, IL 60525-3632
(708) 352-3580
(708) 352-9728
Mailing address
9649 W 55TH ST, COUNTRYSIDE, IL 60525-3632
(708) 352-3580
(708) 352-9728
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.001095
IL
Other
Enumeration date
03/02/2009
Last updated
03/20/2009
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