Organization
FREE YOUR SPEECH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SENTA EMMONS CCC-SLP/L (SPEECH LANGUAGE PATHOLOGIST)
(708) 869-0192
Entity
Organization
Contact information
Practice address
2435 DAVISSON ST, RIVER GROVE, IL 60171-1716
(630) 234-1092
Mailing address
2435 DAVISSON ST, RIVER GROVE, IL 60171-1716
(630) 234-1092
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146010961
IL
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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