Individual
AMANDA LEBEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 TYLER RD STE Q1, ST CHARLES, IL 60174-3360
(630) 540-3900
Mailing address
525 TYLER RD STE Q1, ST CHARLES, IL 60174-3360
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.004349
IL
Other
Enumeration date
08/15/2017
Last updated
01/06/2021
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