Individual
DEANA VICKERMAN-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 S HUTCHINSON ST, HARVARD, IL 60033-2718
(815) 943-6367
Mailing address
305 S HUTCHINSON ST, HARVARD, IL 60033-2718
(815) 943-6367
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2622848
IL
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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