Individual
DAPHNE LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2035 W ILES AVE, SPRINGFIELD, IL 62704-4192
(888) 308-3728
Mailing address
2035 W ILES AVE STE C, SPRINGFIELD, IL 62704-7000
(888) 308-3728
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.006112
IL
Other
Enumeration date
09/10/2020
Last updated
12/30/2021
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