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Individual

MRS. AMY TIMMONS HAGUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
2530 CRAWFORD AVE STE 301, EVANSTON, IL 60201-4972
(312) 550-5336
Mailing address
1132 LAKE AVE, WILMETTE, IL 60091-1661
(847) 728-0580

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146004390
IL

Other

Enumeration date
01/25/2009
Last updated
11/27/2022
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