Individual
CARISSA HALLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., SLP-CCC
Contact information
Practice address
1012 S 3RD ST, OREGON, IL 61061-2300
(618) 214-6569
Mailing address
1012 S 3RD ST, OREGON, IL 61061-2300
(618) 214-6569
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146009789
IL
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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