Individual
HEATHER KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
2907 WILLIAMSON COUNTY PKWY, MARION, IL 62959-5256
(618) 998-9894
(618) 998-9993
Mailing address
2907 WILLIAMSON COUNTY PKWY, MARION, IL 62959-5256
(618) 998-9894
(618) 998-9993
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146008199
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146008199
STATE LICENSE NUMBER
IL
Enumeration date
02/14/2007
Last updated
07/14/2009
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