Individual
BRENDA WIEWEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP/L
Contact information
Practice address
9202 PHILANDER CHASE LN, BRIMFIELD, IL 61517-9492
(630) 723-8269
Mailing address
9202 PHILANDER CHASE LN, BRIMFIELD, IL 61517-9492
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146007196
IL
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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