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Individual

ELIZABETH ANN NOVAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CT

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146015092
IL
235Z00000X
Speech-Language Pathologist
242004813
IL

Other

Enumeration date
08/27/2018
Last updated
12/14/2019
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