Individual
JAIME ELIZABETH CARNEY LEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
360 BLAIR LN, BOLINGBROOK, IL 60440-1801
(630) 679-1210
Mailing address
2222 CLINTON AVE, BERWYN, IL 60402-2164
(818) 331-9689
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242004296
IL
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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