Individual
MRS. CASSIE E MAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1521 HUNTERS VIEW DR, MT ZION, IL 62549-1062
(217) 972-9720
Mailing address
1521 HUNTERS VIEW DR, MT ZION, IL 62549-1062
(217) 972-9720
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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