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Individual

BRIANNA CAITLIN MAKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
901 N LEWIS AVE, WAUKEGAN, IL 60085-2626
(224) 303-3700
Mailing address
1201 N SHERIDAN RD, WAUKEGAN, IL 60085-2081

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
097243
IA

Other

Enumeration date
07/28/2020
Last updated
08/09/2023
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