Individual
CHARLOTTE LEE MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1208 BEECH DR, DIXON, IL 61021-3934
(815) 625-6616
Mailing address
1208 BEECH DR, DIXON, IL 61021-3934
(815) 973-9167
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242018740
IL
Other
Enumeration date
07/20/2026
Last updated
08/07/2026
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