Individual
MS. ANN LESLIE ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA/CCC/SLP-L
Contact information
Practice address
6345 TUDOR LN, LOVES PARK, IL 61111-3426
(815) 218-9047
Mailing address
6345 TUDOR LN, LOVES PARK, IL 61111-3426
(815) 218-9047
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.002148
IL
Other
Enumeration date
03/31/2012
Last updated
03/31/2012
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