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Individual

MISS JESSICA M LAPORTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
2500 CABOT DR, LISLE, IL 60532-3607
(630) 864-3800
Mailing address
309 S WA PELLA AVE, MT PROSPECT, IL 60056-3038
(847) 392-6180
(847) 392-6180

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12151107
235Z00000X
Speech-Language Pathologist
146.011954
IL

Other

Enumeration date
04/07/2014
Last updated
04/07/2014
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