Individual
MRS. CAROLYN M. NUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSCCCSLP
Contact information
Practice address
6902 N KIMBERLY DR, PEORIA, IL 61614-2615
(309) 693-2259
Mailing address
6902 N KIMBERLY DR, PEORIA, IL 61614-2615
(309) 693-2259
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.000445
IL
Other
Enumeration date
05/31/2013
Last updated
05/31/2013
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