Individual
MS. CARLY MARIE HETFLEISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
600 VAIL DR, FRANKFORT, IL 60423-1325
(815) 592-9496
(708) 478-8064
Mailing address
600 VAIL DR, FRANKFORT, IL 60423-1325
(815) 592-9496
(708) 478-8064
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146011338
IL
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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