Individual
MRS. GLENDA ANN RABY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS., CCC-SLP
Contact information
Practice address
1118 FAIRFIELD RD, MOUNT VERNON, IL 62864-5726
(618) 244-8079
(618) 244-8078
Mailing address
11385 STATE HIGHWAY 37, BENTON, IL 62812-4415
(618) 927-5969
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16099017884
—
IL
Enumeration date
09/24/2017
Last updated
09/24/2017
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