Individual
MS. JULIA KIRWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC/SLP/L
Contact information
Practice address
2601 MONTVALE DR, SPRINGFIELD, IL 62704-4200
(217) 303-5803
(217) 303-5804
Mailing address
327 W MASON ST, SPRINGFIELD, IL 62702-5019
(630) 913-1140
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
146.002169
IL
235Z00000X
Speech-Language Pathologist
Primary
SA14611
FL
Other
Enumeration date
01/13/2012
Last updated
07/15/2016
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