Individual
CHRISTINA S HARDIN-WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
252 PEORIA LN, O FALLON, IL 62269-3583
(618) 206-8401
Mailing address
252 PEORIA LN, O FALLON, IL 62269-3583
(618) 206-8401
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146066548
IL
Other
Enumeration date
12/04/2018
Last updated
06/10/2021
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