Individual
DENISE KAY DEMOULIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 E HAZEL DELL LN, SPRINGFIELD, IL 62712-4210
(217) 585-5437
Mailing address
69 WOODLAWN DR, LITCHFIELD, IL 62056-1388
(618) 973-0117
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1460022143
IL
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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