Individual
SERITA WHITEHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
509 E 144TH ST, DOLTON, IL 60419-1145
(773) 988-7883
Mailing address
509 E 144TH ST, DOLTON, IL 60419-1145
(773) 988-7883
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
29001804A
IN
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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