Individual
MISS JULIA ANNE SMRT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3112 PARK AVE, BROOKFIELD, IL 60513-1322
(708) 275-6608
Mailing address
3112 PARK AVE, BROOKFIELD, IL 60513-1322
(708) 275-6608
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.002578
IL
Other
Enumeration date
09/28/2013
Last updated
09/28/2013
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