Individual
DESTINI DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
5620 SOHL AVE, HAMMOND, IN 46320-2008
(219) 937-9085
Mailing address
8715 S BLACKSTONE AVE, CHICAGO, IL 60619-7115
(773) 225-1937
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22007641A
IN
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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