Individual
ANGELA ELENI KIOULTZOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
7A GINGER CREEK VILLAGE DR., GLEN CARBON, IL 62034
(618) 656-7157
(618) 656-0266
Mailing address
5331 RICHLAND WOODS DR, ALTON, IL 62002-6970
(260) 438-4127
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/08/2011
Last updated
07/08/2011
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