Individual
BRITTANY LEE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
5312 135TH ST, CRESTWOOD, IL 60418-1504
(708) 824-1052
Mailing address
9742 S TROY AVE APT B28, EVERGREEN PARK, IL 60805-3133
(317) 910-0366
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146013830
IL
Other
Enumeration date
12/26/2017
Last updated
12/26/2017
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