Individual
DEANNA FOXWORTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1971 W WINONA ST, CHICAGO, IL 60640-2675
(773) 879-1518
Mailing address
1971 W WINONA ST, CHICAGO, IL 60640-2675
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146008062
IL
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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