Individual
JENNIFER LEE CASTELLARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPEECH LANGUAGE PATH
Contact information
Practice address
224 S LOCUST ST, CENTRALIA, IL 62801-3509
(618) 532-4721
Mailing address
206 MARILYN AVE, CENTRALIA, IL 62801-6714
(618) 322-5629
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146-002146
IL
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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