Individual
ANGELA R ZAGORSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
224 S LOCUST ST, CENTRALIA, IL 62801-3509
(618) 532-4721
Mailing address
224 S LOCUST ST, CENTRALIA, IL 62801-3509
(618) 532-4721
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146010939
IL
Other
Enumeration date
09/08/2017
Last updated
09/14/2017
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