Individual
MRS. DANA LEIGH WOLFSLAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC/SLP
Contact information
Practice address
261 NEWPORT DR, AVISTON, IL 62216-3582
(618) 228-7102
Mailing address
261 NEWPORT DR, AVISTON, IL 62216-3582
(618) 228-7102
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.010025
IL
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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