Individual
MRS. JACQUELINE KESSLER-SANTICCIOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-SLP
Contact information
Practice address
725 APPLE TREE LANE, GLENCOE, IL 60022
(847) 786-4212
Mailing address
725 APPLE TREE LANE, GLENCOE, IL 60022
(847) 786-4212
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
008496-1
NY
235Z00000X
Speech-Language Pathologist
146.010116
IL
Other
Enumeration date
11/18/2008
Last updated
02/09/2010
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