Individual
DEBRA KITTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 S PINE ST, DIETERICH, IL 62424-1136
(217) 925-5248
Mailing address
PO BOX 187, DIETERICH, IL 62424-0187
(217) 925-5248
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.005207
IL
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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