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Individual

CHEYANNE JADE KNOLLENBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
600 W MAIN ST, OBLONG, IL 62449-1161
(618) 592-4225
Mailing address
12016 N 200TH ST, OBLONG, IL 62449-2525

Taxonomy

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

Other

Enumeration date
11/01/2023
Last updated
11/01/2023
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