Individual
ASHLEY MILDRED OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
200 E PENNSYLVANIA AVE, SUITE L02, PEORIA, IL 61603-3089
(309) 655-6961
(309) 655-6472
Mailing address
200 EAST PENNSYLVANIA AVENUE, SUITE L02, PEORIA, IL 61603
(309) 655-6961
(309) 655-6472
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.011133
IL
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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