Individual
MRS. JESSICA CAROLYN BRALEY KEENAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP/L, IBCLC
Contact information
Practice address
910 KNOTTINGHAM DR, OTTAWA, IL 61350-4226
(815) 228-7184
(480) 697-5716
Mailing address
910 KNOTTINGHAM DR, OTTAWA, IL 61350-4226
(815) 228-7184
(480) 697-5716
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.012090
IL
Other
Enumeration date
05/15/2013
Last updated
01/09/2024
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