Individual
MRS. AMY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC/SLP
Contact information
Practice address
911 TIMBER SPRINGS DR, JOLIET, IL 60432-0819
(815) 722-1392
Mailing address
911 TIMBER SPRINGS DR, JOLIET, IL 60432-0819
(815) 722-1392
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146006691
IL
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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