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Individual

CARLY WHITING SIEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
10 W. PHILLIP RD, SUITE 108, VERNON HILLS, IL 60061
(847) 275-4115
Mailing address
1871 BUTTERNUT LANE, NORHTBROOK, IL 60062
(847) 275-4115

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.016085
IL
235Z00000X
Speech-Language Pathologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14305473
ASHA
Enumeration date
07/17/2020
Last updated
10/22/2021
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