Individual
MS. AMANDA SUE OHARA SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
8833 GROSS POINT RD, SUITE 308, SKOKIE, IL 60077-1859
(847) 674-2630
(847) 974-4042
Mailing address
711 W GORDON TER, #313, CHICAGO, IL 60613
(773) 339-2117
(847) 674-4042
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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