Individual
JOELLE RENEE ELMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 NEWCASTLE RD, WASHINGTON, IL 61571-1255
(309) 444-3580
Mailing address
165 TEEL LN, WASHINGTON, IL 61571-1073
(309) 256-1150
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1816673
IL
Other
Enumeration date
08/30/2017
Last updated
08/30/2017
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