Individual
EMILY JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 S CHARLES ST, BELLEVILLE, IL 62220-2243
(618) 277-2017
Mailing address
108 N RAILWAY AVE, MASCOUTAH, IL 62258-2157
(618) 407-4670
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146028551
IL
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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