Individual
COLLEEN MARIE DICKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP/L
Contact information
Practice address
0N055 FORSYTHE CT, WINFIELD, IL 60190-1735
(630) 473-0046
Mailing address
0N055 FORSYTHE CT, WINFIELD, IL 60190-1735
(630) 473-0046
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146009925
IL
Other
Enumeration date
03/24/2010
Last updated
01/22/2015
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