Individual
MRS. AMY JANINE MOFFAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
5045 SPAULDING ORCHARD RD, CHATHAM, IL 62629-8728
(217) 971-8795
(217) 483-3508
Mailing address
5045 SPAULDING ORCHARD RD, CHATHAM, IL 62629-8728
(217) 971-8795
(217) 483-3508
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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