Individual
MRS. AMANDA M SICKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
18 N CATHERINE AVE, LA GRANGE, IL 60525-5930
(708) 482-9453
(708) 482-9454
Mailing address
18 N CATHERINE AVE, LA GRANGE, IL 60525-5930
(708) 482-9453
(708) 482-9454
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.009936
IL
235Z00000X
Speech-Language Pathologist
46001817A
IN
Other
Enumeration date
05/07/2008
Last updated
08/24/2009
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