Individual
MS. DAWN WENTAR HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBA CCC SLP
Contact information
Practice address
402 COUNTY ROAD 2600 N, MAHOMET, IL 61853-9723
(217) 778-3574
Mailing address
402 COUNTY ROAD 2600 N, MAHOMET, IL 61853-9723
(217) 778-3574
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.004165
IL
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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