Individual
CASEY BECKMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4311 STATE ROUTE 161, KELL, IL 62853-1327
(618) 204-6114
Mailing address
4311 STATE ROUTE 161, KELL, IL 62853-1327
(618) 204-6114
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146014457
IL
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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