Individual
CAROL CHRISTINE BALKENBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1108 CABIN AVE, DONNELLSON, IL 62019-3122
(217) 313-4357
Mailing address
1108 CABIN AVE, DONNELLSON, IL 62019-3122
(217) 313-4357
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.005585
IL
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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