Individual
MRS. JILL NICOLE PROSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
800 E LOCUST ST, OLNEY, IL 62450-2553
(618) 395-7340
(618) 395-6289
Mailing address
800 E LOCUST ST, OLNEY, IL 62450-2553
(618) 395-7340
(618) 395-6289
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242000601
IL
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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