Individual
MRS. CASSANDRA MARIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
201 E PLEASANT ST, TAYLORVILLE, IL 62568-1562
(618) 910-4975
(217) 824-1854
Mailing address
518 STEVENS ST, NOKOMIS, IL 62075-1489
(618) 910-4975
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.007354
IL
Other
Enumeration date
11/13/2006
Last updated
04/10/2014
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