Individual
MRS. CARRIE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
145 N. MAIN, FARMINGTON, IL 61531
(309) 338-1867
Mailing address
145 N MAIN ST, FARMINGTON, IL 61531-1234
(309) 338-1867
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146009070
IL
Other
Enumeration date
09/07/2017
Last updated
07/21/2022
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