Individual
JEANNA RICHELLE OLIVERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 MARY SENICA CT, LA SALLE, IL 61301-9658
(815) 579-7799
Mailing address
140 MARY SENICA CT, LA SALLE, IL 61301-9658
(815) 579-7799
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.006286
IL
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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